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South Dakota rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $190.55 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80