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South Dakota rates for HCPCS 92201

Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $40.74 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $25.12 / $38.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.36 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $56.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.92 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $45.71 / $56.23