go back

South Dakota rates for HCPCS 0616T

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.88 / $1,413.87 / $1,749.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,317.02 / $4,317.02 / $4,317.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.38 / $1,251.89 / $1,356.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.79 / $1,356.79 / $1,492.48