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South Dakota rates for HCPCS 68328

Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,621.81 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53