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South Dakota rates for HCPCS 92020

Gonioscopy Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $26.32 / $58.78
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.72 / $13.12 / $19.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $41.66 / $60.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $29.01 / $52.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $42.53 / $213.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.52 / $52.39 / $67.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $51.00 / $63.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $36.88 / $52.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $30.03 / $50.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $45.20 / $61.10