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South Dakota rates for HCPCS 67210

Dstrj Loclzd Lesion Retina 1/> Sess Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.62 / $550.13 / $550.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.62 / $594.84 / $825.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.96 / $1,178.78 / $1,473.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.43 / $734.19 / $1,359.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.21 / $1,033.72 / $3,710.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.05 / $1,199.70 / $1,502.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.95 / $1,199.70 / $1,369.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.09 / $840.25 / $1,025.69
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
$593.27 / $931.97 / $1,449.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.30 / $1,140.90 / $1,178.70