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South Dakota rates for HCPCS 66500

Iridotomy by stab incision (separate procedure); except transfixion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.43 / $427.43 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.66 / $499.41 / $923.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.30 / $829.29 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $580.20 / $752.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00