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South Dakota rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.13 / $896.13 / $896.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.50 / $1,119.55 / $2,209.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.39 / $1,821.47 / $2,188.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.26 / $1,372.55 / $1,614.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $4,561.46