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South Dakota rates for HCPCS 67228

Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $363.08 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$724.44 / $794.33 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $676.08 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $794.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $630.96 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $776.25