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South Dakota rates for HCPCS 68500

Excision Lacrimal Gland Xcpt Tumor Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.52 / $1,139.52 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.31 / $1,139.52 / $1,857.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.67 / $2,431.57 / $3,039.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.31 / $1,334.95 / $2,563.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.55 / $1,824.91 / $3,068.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.60 / $2,290.37 / $2,777.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.00 / $2,274.59 / $2,825.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.81 / $1,600.19 / $2,035.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $7,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.53 / $1,843.71 / $2,838.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.00 / $2,427.50 / $2,427.50