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South Dakota rates for HCPCS 65205

Removal Fb Eye Conjunctival Superficial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $44.89 / $67.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $66.22 / $82.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $38.86 / $147.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.43 / $101.30 / $217.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.85 / $76.40 / $88.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $83.62 / $106.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $52.86 / $91.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $67.43 / $140.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.20 / $65.59 / $66.30