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South Dakota rates for HCPCS 66030

Injx Anterior Chamber Eye Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.88 / $193.84 / $193.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $146.50 / $211.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.48 / $321.38 / $513.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.13 / $193.59 / $428.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.62 / $316.08 / $830.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.76 / $370.96 / $1,821.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $298.16 / $475.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.19 / $221.19 / $338.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $292.85 / $490.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $256.10 / $404.20