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South Dakota rates for HCPCS 68540

Exc Lacrimal Gland Tumor Frontal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.69 / $1,052.69 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.72 / $1,052.69 / $1,719.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.46 / $2,245.37 / $2,806.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.72 / $1,234.99 / $2,442.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.30 / $1,717.65 / $2,919.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,840.22 / $2,519.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.00 / $2,163.61 / $2,612.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.17 / $1,524.19 / $1,881.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.34 / $1,706.23 / $2,671.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.30 / $2,243.10 / $2,243.10