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South Dakota rates for HCPCS 65860

Severing Adhesions Anterior Segment Laser Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.52 / $329.65 / $329.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.73 / $269.64 / $536.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.16 / $705.86 / $882.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.24 / $385.60 / $738.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.02 / $587.16 / $2,726.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.75 / $664.47 / $806.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.00 / $652.05 / $816.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.02 / $478.06 / $590.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.43 / $559.21 / $868.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.10 / $570.00 / $704.30