go back

South Dakota rates for HCPCS V2750

Anti-Reflective Coating Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $19.96 / $22.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $27.75 / $34.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $22.82 / $37.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $11.43 / $151.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $27.14 / $48.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.53 / $22.22 / $24.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $22.91 / $28.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $9.52 / $19.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $22.20 / $22.20