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South Dakota rates for HCPCS V2770

Occluder lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $22.31 / $23.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.41 / $23.97 / $39.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.96 / $210.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $30.34 / $53.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.44 / $24.86 / $27.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $23.97 / $30.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $9.74 / $24.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $24.82 / $24.82