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South Dakota rates for HCPCS 67220

Dstrj Lesion Choroid Pc 1/> Sess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.50 / $566.79 / $566.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.98 / $878.13 / $1,016.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.45 / $1,213.83 / $1,517.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.62 / $734.51 / $1,489.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.73 / $1,065.30 / $3,914.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.97 / $1,232.82 / $1,533.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.25 / $1,236.32 / $1,585.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.47 / $868.22 / $1,099.05
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
$639.17 / $1,065.30 / $1,523.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.40 / $1,141.59 / $1,211.80