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South Dakota rates for HCPCS 68420

Incision Drainage Lacrimal Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.91 / $363.87 / $363.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $293.19 / $580.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.15 / $475.25 / $949.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.52 / $318.26 / $803.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.82 / $609.27 / $1,240.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.27 / $617.86 / $876.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.22 / $589.00 / $892.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.33 / $389.75 / $627.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.74 / $599.58 / $932.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.10 / $381.80 / $748.20