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South Dakota rates for HCPCS 65420

Excision/Transposition Pterygium W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.66 / $586.91 / $586.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.16 / $453.42 / $880.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.62 / $1,098.53 / $1,551.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.64 / $642.49 / $1,305.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.45 / $981.67 / $2,837.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.64 / $1,145.05 / $1,662.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.55 / $1,001.64 / $1,441.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.46 / $734.23 / $1,027.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.34 / $961.94 / $1,496.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.80 / $875.50 / $1,225.70