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South Dakota rates for HCPCS 65756

Keratoplasty (corneal transplant); endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,479.11 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $2,754.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $2,344.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $3,311.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $2,691.53