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South Dakota rates for HCPCS 65730

Keratoplasty Pentrg Except Aphakia/Pseudophakia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.81 / $1,332.81 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.47 / $1,662.17 / $3,227.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,338.98 / $2,869.65 / $3,665.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.11 / $2,013.29 / $2,396.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$452.34 / $452.34 / $452.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00