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South Dakota rates for HCPCS 67030

Discission of vitreous strands (without removal), pars plana approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,318.26 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $741.31 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $776.25 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,513.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $1,288.25