go back

South Dakota rates for HCPCS 66505

Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.95 / $463.95 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.96 / $571.33 / $1,035.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.95 / $907.60 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.69 / $635.90 / $818.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00