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South Dakota rates for HCPCS 66930

Removal of lens material; intracapsular, for dislocated lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,148.15 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,995.26 / $1,995.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $1,659.59
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
$851.14 / $1,513.56 / $2,398.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $1,949.84