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South Dakota rates for HCPCS 66635

Irdec Crnlsclrl/Crnl Sctj Optical Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.95 / $607.95 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.34 / $757.76 / $1,510.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.46 / $1,330.28 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.95 / $934.83 / $1,099.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00