go back

South Dakota rates for HCPCS 65436

Rmvl Corneal Epithelium W/Appl Chelating Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.64 / $413.90 / $413.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.51 / $392.64 / $676.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.23 / $894.41 / $1,118.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.60 / $489.69 / $1,016.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.99 / $772.20 / $2,756.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.15 / $860.84 / $1,113.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.78 / $865.01 / $1,026.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.67 / $626.72 / $749.76
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
$424.71 / $772.20 / $1,085.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.70 / $850.80 / $894.00