go back

South Dakota rates for HCPCS V2510

Contact lens, gas permeable, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.06 / $123.34 / $145.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.63 / $170.63 / $213.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.19 / $148.66 / $245.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.23 / $73.42 / $871.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.00 / $161.88 / $286.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.73 / $132.58 / $146.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.51 / $148.66 / $186.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $59.23 / $123.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.44 / $132.44 / $132.44