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South Dakota rates for HCPCS 67505

Retrobulbar injection; alcohol

Facilitymedian $91 · 10th–90th $69–$4,3650%10%20%10th90th$91Professionalmedian $110 · 10th–90th $76–$1950%10%10th90th$110$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $147.91 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $138.04 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $151.36 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $194.98