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South Dakota rates for HCPCS 66740

Ciliary Body Destruction Cyclodialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.66 / $471.23 / $471.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.61 / $415.66 / $767.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.19 / $1,011.27 / $1,264.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.61 / $554.41 / $1,098.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.01 / $827.55 / $1,372.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.39 / $1,013.32 / $1,539.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.88 / $951.23 / $1,166.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.81 / $709.73 / $845.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.11 / $792.76 / $1,233.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.00 / $897.90 / $1,008.20