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South Dakota rates for HCPCS 67010

Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.96 / $578.96 / $578.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.35 / $721.81 / $1,426.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.31 / $1,258.41 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.51 / $892.49 / $1,049.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00