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South Dakota rates for HCPCS 67225

Dstrj Lesion Choroid Pdt 2nd Eye 1 Session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $28.87 / $51.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $66.22 / $82.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.08 / $59.00 / $509.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $69.11 / $79.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.44 / $47.84 / $56.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $55.08 / $82.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.80 / $62.50 / $67.09