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South Dakota rates for HCPCS 66825

Repositioning Io Lens Prosthesis Req Inc Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.76 / $897.76 / $897.76
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$673.32 / $673.32 / $673.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.25 / $721.88 / $1,337.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.23 / $1,901.78 / $2,377.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.43 / $1,049.26 / $2,001.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.49 / $1,434.71 / $2,389.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.15 / $1,786.01 / $2,125.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.14 / $1,779.07 / $2,219.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.35 / $1,245.69 / $1,587.49
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
$689.91 / $1,368.13 / $2,231.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.10 / $1,892.90 / $1,892.90