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South Dakota rates for HCPCS 67005

Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53