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South Dakota rates for HCPCS 67110

Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $954.99 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,584.89 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $2,398.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $2,041.74