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South Dakota rates for HCPCS 67101

Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $660.69 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $616.60 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $758.58