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South Dakota rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Facilitymedian $93 · 10th–90th $59–$1580%20%40%10th90th$93Professionalmedian $62 · 10th–90th $38–$890%20%10th90th$62$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $104.71 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $77.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62