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South Dakota rates for HCPCS 65900

Removal of epithelial downgrowth, anterior chamber of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.79 / $1,057.79 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.26 / $1,057.79 / $1,729.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.19 / $2,259.39 / $2,824.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.26 / $1,241.51 / $2,531.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.34 / $1,765.31 / $3,026.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $2,125.04 / $2,547.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.19 / $2,253.92 / $2,626.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.55 / $1,581.05 / $1,894.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.21 / $1,765.31 / $2,746.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.60 / $2,259.30 / $2,259.30