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South Dakota rates for HCPCS 65920

Removal of implanted material, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.58 / $843.58 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.09 / $1,050.28 / $2,069.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.92 / $1,821.47 / $2,125.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.02 / $1,291.72 / $1,519.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00