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South Dakota rates for HCPCS V2745

Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $10.77 / $12.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $17.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $12.61 / $20.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.29 / $81.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $14.64 / $25.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $11.99 / $13.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $12.61 / $15.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.03 / $10.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $11.98 / $11.98