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South Dakota rates for HCPCS 66990

Use Ophthalmic Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.12 / $92.12 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.06 / $116.77 / $241.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $199.18 / $229.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $146.82 / $169.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00