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South Dakota rates for HCPCS 0615T

Eye Mvmt Analysis W/O Spatial Calibration I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.53 / $96.53 / $96.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $89.04 / $96.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.27 / $210.27 / $210.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.04 / $99.00 / $128.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $116.25 / $261.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.23 / $179.03 / $222.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.93 / $215.53 / $218.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $116.25 / $194.40