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South Dakota rates for HCPCS 92287

Anterior segment imaging with interpretation and report; with fluorescein angiography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $118.40 / $163.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.66 / $280.56 / $350.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.86 / $236.23 / $1,004.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $278.60 / $364.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.05 / $224.12 / $273.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $200.35 / $288.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.40 / $286.39 / $297.80