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South Dakota rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,235.94 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,344.23 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32