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South Dakota rates for HCPCS 65865

Severing Ads Ant Seg Incal Tq Spx Goniosynechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.04 / $511.04 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.58 / $634.86 / $1,240.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.13 / $1,096.65 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.34 / $776.31 / $917.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00