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South Dakota rates for HCPCS 76519

Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.05 / $31.05 / $31.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.42 / $77.64 / $113.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.77 / $28.10 / $47.91
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.71 / $30.71 / $68.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.65 / $49.53 / $68.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $159.79 / $199.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.68 / $69.81 / $87.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.87 / $89.98 / $112.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.78 / $124.67 / $497.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.76 / $58.33 / $320.31
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.03 / $66.34 / $320.31
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.95 / $98.95 / $98.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $149.29 / $170.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $115.75 / $140.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.82 / $50.85 / $58.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.22 / $64.68 / $87.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.87 / $100.78 / $170.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.59 / $41.47 / $63.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.35 / $58.98 / $107.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.90 / $142.30 / $142.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.40 / $62.80 / $62.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.59 / $79.50 / $79.50