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South Dakota rates for HCPCS 68750

Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.42 / $921.42 / $921.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.52 / $1,143.09 / $2,063.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.76 / $1,853.71 / $2,632.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.77 / $1,289.78 / $1,647.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00