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South Dakota rates for HCPCS 67208

Dstrj Loclzd Lesion Retina 1/> Sess Crtx Dthrm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.72 / $641.92 / $641.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.12 / $505.26 / $1,003.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.96 / $1,378.23 / $1,722.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.27 / $763.62 / $1,518.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.45 / $1,194.46 / $4,296.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.19 / $1,340.69 / $1,741.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.48 / $1,347.19 / $1,593.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.64 / $973.10 / $1,156.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.50 / $1,193.02 / $1,682.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.59 / $1,319.80 / $1,378.40