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South Dakota rates for HCPCS 65880

Severing Ads Ant Seg Incal Spx Corneovitreal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.52 / $710.52 / $710.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.16 / $836.27 / $1,740.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.71 / $1,538.20 / $3,141.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.69 / $1,086.05 / $1,277.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00