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South Dakota rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.24 / $585.61 / $795.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.16 / $770.53 / $963.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.05 / $659.78 / $3,252.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.71 / $763.41 / $1,188.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.48 / $546.60 / $1,028.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.29 / $666.49 / $931.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.70 / $652.60 / $766.70