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South Dakota rates for HCPCS 66225

Repair of scleral staphyloma; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.81 / $992.81 / $992.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.85 / $1,169.09 / $2,452.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.89 / $2,163.19 / $3,942.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.04 / $1,524.32 / $1,793.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00