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South Dakota rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.83 / $849.83 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.08 / $988.43 / $1,823.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.34 / $1,549.41 / $2,418.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.45 / $1,093.67 / $1,489.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00