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South Dakota rates for HCPCS 92313

Rx&Fitg Contact Lens Corneoscleral Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $75.73 / $141.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.39 / $99.13 / $218.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $85.50 / $170.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.97 / $126.06 / $638.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $186.59 / $240.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.86 / $143.07 / $225.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.25 / $117.56 / $187.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $122.34 / $216.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $95.80 / $220.20