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South Dakota rates for HCPCS V2700

Balance lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.55 / $46.74 / $60.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $62.25 / $77.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.54 / $61.99 / $102.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $27.84 / $401.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $61.38 / $108.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $52.87 / $55.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $61.99 / $77.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $26.23 / $53.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $50.22 / $50.22