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South Dakota rates for HCPCS 68400

Incision, drainage of lacrimal gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $323.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $295.12 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $275.42 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $380.19 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $354.81 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $676.08