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South Dakota rates for HCPCS 26686

Optx Carp/Mtcrpl Dislc Thmb Cplx Mlt/Dlyd Rdctj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.11 / $625.11 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.74 / $569.04 / $985.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.07 / $1,420.30 / $1,775.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.93 / $1,056.44 / $1,621.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.09 / $1,271.40 / $4,644.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,539.57 / $4,703.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.93 / $1,293.78 / $1,684.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.73 / $1,054.71 / $1,240.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.97 / $1,255.03 / $1,714.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.90 / $1,506.00 / $1,506.00