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South Dakota rates for HCPCS 65750

Keratoplasty (corneal transplant); penetrating (in aphakia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.49 / $1,340.49 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.20 / $1,674.04 / $3,248.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.80 / $2,885.47 / $3,942.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.55 / $2,024.32 / $2,409.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00