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South Dakota rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,412.54 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53