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South Dakota rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.73 / $62.56 / $62.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $50.83 / $62.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.85 / $133.22 / $166.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.98 / $92.49 / $160.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $132.55 / $3,468.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.22 / $144.63 / $182.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.22 / $129.43 / $155.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $95.13 / $111.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $115.84 / $176.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $118.80 / $133.40