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South Dakota rates for HCPCS 65285

Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.80 / $1,170.80 / $1,170.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.46 / $1,459.79 / $2,921.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.59 / $2,563.89 / $3,942.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.64 / $1,797.07 / $2,114.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00