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South Dakota rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$512.86 / $676.08 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $323.59 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $831.76 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,148.15 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,412.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $562.34