go back

South Dakota rates for HCPCS 67227

Destruction Retinopathy Cryotherapy Diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.30 / $315.92 / $315.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $480.35 / $516.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.20 / $677.04 / $846.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.46 / $373.81 / $1,597.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.54 / $578.44 / $3,160.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.47 / $657.90 / $871.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.22 / $678.92 / $946.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.50 / $482.26 / $907.73
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
$335.65 / $530.04 / $824.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.90 / $583.20 / $676.50