go back

South Dakota rates for HCPCS V2020

Frames, purchases

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $89.13 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $39.81 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $100.00 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19