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South Dakota rates for HCPCS V2219

Bifocal Seg Width Over 28mm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $50.22 / $69.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $69.38 / $86.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.58 / $70.98 / $117.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $30.97 / $354.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $68.28 / $121.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $60.74 / $61.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.44 / $71.25 / $89.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $28.39 / $59.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $55.86 / $55.86