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South Dakota rates for HCPCS 00142

Anesthesia for procedures on eye; lens surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $251.19 / $275.42
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$389.05 / $512.86 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$173.78 / $177.83 / $181.97
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$53.70 / $72.44 / $199.53
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$114.82 / $512.86 / $660.69
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$354.81 / $398.11 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$371.54 / $371.54 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$165.96 / $204.17 / $204.17
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$288.40 / $288.40 / $288.40