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South Dakota rates for HCPCS 67112

Rpr Retinal Dtchmnt Scleral Buckling/Vitrectomy

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,951.21 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,737.80 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,905.46 / $2,187.76