go back

South Dakota rates for HCPCS 66020

Injection, anterior chamber of eye (separate procedure); air or liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $213.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $213.80 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $446.68