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South Dakota rates for HCPCS 65270

Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.85 / $312.45 / $312.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.05 / $265.95 / $688.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.76 / $613.73 / $1,539.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $323.08 / $536.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00