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South Dakota rates for HCPCS 65105

Enucleation of eye; with implant, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28