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South Dakota rates for HCPCS 65280

Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.47 / $711.47 / $711.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.85 / $889.12 / $1,769.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.61 / $1,555.99 / $3,942.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.77 / $1,089.34 / $1,281.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00