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South Dakota rates for HCPCS 00142

Anesthesia Eye Lens Surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $275.00 / $275.00
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$552.90 / $552.90 / $552.90
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$127.22 / $127.22 / $127.22
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$172.50 / $177.50 / $189.75
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$114.41 / $529.20 / $610.54
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$342.85 / $404.25 / $428.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.00 / $2,750.00 / $3,700.00
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$370.00 / $370.00 / $370.00
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$166.25 / $185.00 / $205.00
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$288.50 / $288.50 / $288.50