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South Dakota rates for HCPCS V2531

Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.72 / $547.48 / $643.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.88 / $757.88 / $947.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.73 / $658.74 / $1,087.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.44 / $324.18 / $3,280.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.00 / $714.78 / $1,267.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.53 / $585.38 / $647.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.48 / $658.74 / $828.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.56 / $262.44 / $547.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.82 / $584.82 / $584.82