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South Dakota rates for HCPCS 67031

Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.61 / $416.89 / $416.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.06 / $340.63 / $615.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.96 / $891.29 / $1,114.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.57 / $489.31 / $994.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.64 / $775.22 / $2,633.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.41 / $837.70 / $1,069.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.07 / $837.70 / $1,036.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.52 / $631.65 / $744.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.13 / $705.33 / $1,097.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.60 / $809.90 / $887.80