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South Dakota rates for HCPCS 66185

Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.05 / $906.05 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.89 / $1,067.16 / $2,217.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.54 / $1,821.47 / $2,125.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.08 / $1,386.10 / $1,632.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$309.49 / $309.49 / $309.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $4,561.46