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South Dakota rates for HCPCS 76529

Ophthalmic Ultrasonic Foreign Body Localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.19 / $90.19 / $90.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $77.48 / $130.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $197.80 / $247.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.14 / $130.94 / $194.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.81 / $156.05 / $548.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.85 / $185.49 / $285.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $179.32 / $217.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.75 / $130.55 / $163.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $125.62 / $225.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $175.80 / $175.80