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South Dakota rates for HCPCS 66988

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.20 / $736.20 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.45 / $736.20 / $1,225.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.36 / $1,690.65 / $2,113.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.82 / $871.17 / $1,661.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.12 / $876.75 / $1,937.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.08 / $1,741.61 / $3,665.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.08 / $1,829.83 / $2,194.10
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
$650.98 / $1,245.67 / $1,937.71