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South Dakota rates for HCPCS 68720

Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.83 / $867.83 / $867.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.02 / $1,078.84 / $1,986.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.54 / $1,760.40 / $2,474.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.36 / $1,240.47 / $1,555.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$277.97 / $277.97 / $277.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00