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South Dakota rates for HCPCS 92015

Determination Refractive State

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $21.34 / $38.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $33.52 / $47.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $22.24 / $50.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $28.80 / $120.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $44.49 / $47.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $41.22 / $52.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $30.24 / $38.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $23.71 / $48.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $35.20 / $43.00