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South Dakota rates for HCPCS V2500

Contact Lens,Pmma,Spherical, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $87.71 / $100.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.88 / $127.88 / $159.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.77 / $103.19 / $170.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $50.42 / $643.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.00 / $111.17 / $197.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $91.04 / $100.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $103.19 / $129.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $41.12 / $85.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $90.95 / $90.95