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South Dakota rates for HCPCS G0186

Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.02 / $686.02 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.02 / $726.79 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.13 / $651.75 / $814.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.88 / $752.15 / $1,643.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.71 / $1,429.95 / $2,258.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.41 / $1,060.84 / $1,511.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.84 / $1,429.95 / $1,614.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.26 / $1,458.26 / $1,911.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.80 / $891.60 / $891.60