go back

South Dakota rates for HCPCS 68500

Excision of lacrimal gland (dacryoadenectomy), except for tumor; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,754.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $2,454.71