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South Dakota rates for HCPCS V2513

Contact Lens,Gas Permeable,Extended Wear, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.58 / $161.35 / $211.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.25 / $293.25 / $366.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.37 / $189.82 / $313.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.62 / $94.70 / $1,252.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.80 / $212.00 / $370.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $171.01 / $189.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.34 / $189.82 / $238.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $94.70 / $166.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.84 / $170.84 / $170.84