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South Dakota rates for HCPCS 68801

Dilation of lacrimal punctum, with or without irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $104.71 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $177.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $147.91 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $120.23 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $165.96 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $208.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $151.36 / $251.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $218.78