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South Dakota rates for HCPCS 65930

Rmvl Blood Clot Anterior Segment Eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.65 / $683.65 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.69 / $852.61 / $1,676.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.49 / $1,477.04 / $1,944.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.55 / $1,045.35 / $1,229.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00