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South Dakota rates for HCPCS V2762

Polarization, Any Lens Material, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $60.27 / $71.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.25 / $83.25 / $104.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.49 / $72.73 / $120.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $35.72 / $362.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $78.76 / $139.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $64.51 / $71.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $72.73 / $91.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $28.98 / $60.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.44 / $64.44 / $64.44