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South Dakota rates for HCPCS 66180

Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.61 / $1,209.61 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.77 / $1,424.68 / $2,990.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.94 / $2,640.45 / $5,135.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.15 / $1,855.91 / $2,183.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$416.31 / $416.31 / $416.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00