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South Dakota rates for HCPCS 67005

Rmvl Vitreous Ant Appr Partial Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.85 / $506.85 / $506.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.38 / $630.50 / $1,239.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.32 / $1,095.21 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.21 / $782.51 / $939.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00