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South Dakota rates for HCPCS 66852

Rmvl Lens Material Pars Plana W/Wo Vitrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.66 / $888.66 / $888.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.01 / $1,047.22 / $2,222.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.22 / $1,946.37 / $3,141.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.81 / $1,367.12 / $1,606.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00