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South Dakota rates for HCPCS 68815

Probe Nasolacrimal Duct W/Wo Irrg Insj Tube/Stnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.44 / $411.72 / $411.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.61 / $385.99 / $574.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.45 / $638.86 / $1,074.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.50 / $423.46 / $994.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.67 / $708.14 / $1,655.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.39 / $699.41 / $1,539.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.39 / $685.11 / $1,010.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.05 / $490.78 / $735.11
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
$437.53 / $562.95 / $1,101.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.00 / $510.60 / $847.00