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South Dakota rates for HCPCS V2319

Trifocal seg width over 28 mm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $50.67 / $66.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $92.25 / $115.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.21 / $59.57 / $98.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $29.74 / $349.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $65.56 / $116.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.81 / $53.70 / $59.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $59.61 / $74.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.28 / $29.74 / $47.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.65 / $53.65 / $53.65