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South Dakota rates for HCPCS 0191T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; initial insertion

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.88 / $374.58 / $463.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.46 / $2,110.46 / $2,110.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.66 / $1,118.66 / $1,118.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.66 / $1,118.66 / $1,303.27