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South Dakota rates for HCPCS 66720

Ciliary body destruction; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $831.76 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,071.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,071.52