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South Dakota rates for HCPCS V2761

Mirror coating, any type, solid, gradient or equal, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $9.55 / $10.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.50 / $15.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $13.34 / $18.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.50 / $249.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.01 / $19.01 / $23.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.44 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.96 / $11.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10