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South Dakota rates for HCPCS 67218

Dstrj Lesion Retina 1/> Sess Radj Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.21 / $1,471.21 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.88 / $1,471.21 / $2,427.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,863.15 / $3,150.68 / $3,938.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.88 / $1,759.18 / $3,651.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.06 / $2,498.54 / $4,339.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,777.32 / $3,607.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.41 / $3,223.43 / $3,672.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.18 / $2,258.44 / $2,656.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.38 / $2,532.26 / $3,886.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.19 / $3,168.00 / $3,168.00