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South Dakota rates for HCPCS 67110

Rpr Retinal Dtchmnt Injection Air/Other Gas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.90 / $954.03 / $954.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.26 / $749.55 / $1,414.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.57 / $2,036.57 / $2,545.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.29 / $1,161.51 / $2,166.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.24 / $1,749.38 / $6,054.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.38 / $1,885.41 / $2,451.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.22 / $1,927.25 / $2,362.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.57 / $1,424.39 / $1,702.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.80 / $1,749.38 / $2,488.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.30 / $1,858.20 / $2,030.20