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South Dakota rates for HCPCS 0730T

Trabeculotomy by laser, including optical coherence tomography (OCT) guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $338.84 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $741.31