go back

South Dakota rates for HCPCS 92355

Fitting of spectacle mounted low vision aid; telescopic or other compound lens system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $23.29 / $28.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $37.84 / $57.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $26.29 / $219.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $27.65 / $913.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.79 / $47.30 / $89.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $40.03 / $178.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $29.20 / $42.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $25.60 / $52.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $41.70 / $49.00