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South Dakota rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.24 / $814.62 / $814.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.68 / $664.29 / $1,220.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.58 / $1,592.29 / $2,149.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.45 / $893.58 / $1,812.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.24 / $1,422.09 / $4,145.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.63 / $1,539.00 / $1,995.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.17 / $1,468.81 / $2,006.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.98 / $1,068.68 / $1,429.65
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
$823.32 / $1,339.93 / $2,124.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.30 / $1,274.30 / $1,704.70