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South Dakota rates for HCPCS 92100

Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment of acute elevation of intraocular pressure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $64.45 / $95.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $82.46 / $190.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $73.95 / $147.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $104.54 / $539.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.98 / $151.00 / $200.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $118.24 / $190.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.82 / $99.64 / $157.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $89.12 / $117.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $60.90 / $162.80