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South Dakota rates for HCPCS 65222

Rmvl Fb Xtrnl Eye Corneal W/Slit Lamp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.22 / $72.98 / $72.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $65.95 / $136.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $143.16 / $196.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.07 / $86.03 / $175.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $133.47 / $377.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.71 / $152.28 / $177.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $133.87 / $180.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.77 / $95.74 / $130.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.25 / $118.25 / $191.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.80 / $114.20 / $155.80