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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
$89.13 / $89.13 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $125.89 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $186.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $186.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $177.83