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South Dakota rates for HCPCS 0474T

Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.81 / $371.81 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.84 / $363.86 / $371.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.13 / $470.79 / $582.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.90 / $363.86 / $996.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.79 / $441.72 / $1,210.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.86 / $872.93 / $1,210.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.04 / $1,152.33 / $1,216.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.75 / $598.14 / $905.93