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South Dakota rates for HCPCS 65426

Excision/Transposition Pterygium W/Grafg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.98 / $727.15 / $727.15
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$381.74 / $381.74 / $545.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.75 / $570.89 / $2,250.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.40 / $1,376.09 / $1,924.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.47 / $751.84 / $1,617.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.63 / $1,223.74 / $3,567.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.78 / $1,438.85 / $1,795.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.46 / $1,262.25 / $1,788.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.88 / $923.77 / $1,278.92
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
$717.07 / $1,204.33 / $1,873.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.09 / $1,101.50 / $1,525.00