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South Dakota rates for HCPCS 65222

Removal of foreign body, external eye; corneal, with slit lamp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $72.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $85.11 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $85.11 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $123.03 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $158.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $154.88