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South Dakota rates for HCPCS 68200

Subconjunctival Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.94 / $44.52 / $44.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $37.09 / $59.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $95.83 / $119.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.45 / $52.30 / $99.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $80.70 / $420.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $90.88 / $108.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.04 / $90.07 / $110.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $65.98 / $80.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.23 / $75.54 / $117.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $78.70 / $95.60