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South Dakota rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.04 / $914.04 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.74 / $666.74 / $914.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.08 / $2,062.28 / $2,577.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.09 / $1,081.11 / $2,062.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.69 / $1,090.64 / $2,353.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.23 / $2,161.35 / $3,665.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.23 / $2,270.83 / $2,550.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.61 / $1,337.40 / $2,353.96