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South Dakota rates for HCPCS 0617T

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens

Insurance Carrier
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,448.80 / $4,448.80 / $4,448.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.81 / $988.81 / $1,369.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.81 / $988.81 / $1,088.00