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South Dakota rates for HCPCS 68330

Repair of symblepharon; conjunctivoplasty, without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.03 / $675.87 / $675.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $549.50 / $1,088.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.46 / $1,322.52 / $1,790.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.40 / $694.45 / $1,505.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.60 / $1,146.23 / $3,428.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.27 / $1,341.34 / $1,915.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.49 / $1,214.21 / $1,664.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.96 / $888.19 / $1,192.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.92 / $1,134.25 / $1,725.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.40 / $1,059.09 / $1,421.60