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South Dakota rates for HCPCS 92002

Oph Svcs Medical Xm&Eval Intermediate New Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.03 / $82.77 / $121.04
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$84.68 / $84.68 / $84.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $98.41 / $184.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.69 / $76.93 / $146.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.38 / $128.29 / $544.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.97 / $161.22 / $208.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.90 / $120.84 / $193.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $99.80 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $97.23 / $150.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.60 / $101.00 / $189.30