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South Dakota rates for HCPCS 68700

Plastic Repair Canaliculi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.03 / $639.03 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.78 / $528.94 / $716.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.28 / $1,381.34 / $1,726.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.78 / $797.11 / $1,587.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.45 / $1,084.25 / $1,897.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.63 / $1,398.84 / $1,795.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.00 / $1,400.65 / $1,588.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.46 / $985.97 / $1,159.89
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
$624.63 / $1,084.25 / $1,686.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.40 / $1,383.10 / $1,383.10