go back

South Dakota rates for HCPCS 66625

Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.93 / $456.93 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.98 / $622.09 / $1,125.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.60 / $994.08 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.66 / $701.12 / $824.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00