go back

South Dakota rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.51 / $844.51 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.54 / $994.83 / $2,188.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.16 / $1,820.53 / $2,125.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.56 / $1,292.81 / $1,520.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $4,561.46