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South Dakota rates for HCPCS 65810

Paracentsis Ant Cham Rmvl Vitreous W/Wo Air Injx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.85 / $493.85 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $493.85 / $807.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.42 / $1,063.47 / $1,329.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.70 / $658.27 / $1,221.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.80 / $835.52 / $1,463.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.74 / $1,078.70 / $1,821.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.98 / $1,078.70 / $1,226.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.64 / $758.86 / $892.72
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
$473.76 / $928.50 / $1,299.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $1,064.50 / $1,064.50