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South Dakota rates for HCPCS 67107

Repair Retinal Detachment Scleral Buckling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.63 / $1,186.63 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.69 / $1,487.06 / $3,200.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.92 / $2,602.16 / $3,387.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.68 / $1,864.35 / $2,149.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$414.25 / $414.25 / $414.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00