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South Dakota rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,290.87 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,238.72 / $2,238.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $2,691.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $2,238.72