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South Dakota rates for HCPCS 65210

Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.09 / $41.08 / $581.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $59.97 / $72.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $88.04 / $110.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $51.77 / $150.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.23 / $123.90 / $269.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.87 / $100.00 / $118.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $102.32 / $130.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $65.76 / $112.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $93.13 / $143.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.90 / $82.50 / $87.90