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South Dakota rates for HCPCS V2512

Contact lens, gas permeable, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.19 / $220.80 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.38 / $291.38 / $364.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.80 / $226.10 / $386.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $112.80 / $1,492.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.00 / $304.23 / $539.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.74 / $249.19 / $275.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.60 / $226.10 / $284.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.32 / $94.00 / $188.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.91 / $248.91 / $248.91