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South Dakota rates for HCPCS 66160

Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.29 / $1,050.29 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.85 / $1,050.29 / $1,717.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.94 / $2,254.71 / $2,818.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.85 / $1,236.60 / $2,591.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.18 / $1,777.01 / $3,104.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.26 / $2,125.04 / $2,563.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.00 / $2,290.96 / $2,608.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.33 / $1,606.81 / $1,890.24
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
$856.78 / $1,709.16 / $2,764.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.20 / $2,253.90 / $2,253.90