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South Dakota rates for HCPCS 67228

Treatment Extensive Retinopathy Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.36 / $361.75 / $361.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.36 / $913.00 / $1,251.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.13 / $775.98 / $969.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.55 / $443.71 / $2,501.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.64 / $712.70 / $4,000.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.72 / $786.24 / $1,007.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.02 / $793.63 / $1,495.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.34 / $554.13 / $1,275.16
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
$437.50 / $678.76 / $970.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.90 / $694.20 / $776.80