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South Dakota rates for HCPCS 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.98 / $261.19 / $261.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.98 / $427.12 / $586.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.24 / $560.16 / $700.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.53 / $320.31 / $1,380.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.84 / $997.71 / $1,655.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.17 / $601.00 / $1,153.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.47 / $791.39 / $1,223.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $415.31 / $856.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.26 / $750.38 / $1,480.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.20 / $495.20 / $556.90