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South Dakota rates for HCPCS 68520

Excision Lacrimal Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.74 / $791.74 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.25 / $928.34 / $1,801.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.75 / $1,595.32 / $2,380.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.79 / $1,126.75 / $1,417.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00