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South Dakota rates for HCPCS V2780

Oversize lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $12.59 / $14.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.25 / $21.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $15.03 / $24.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.51 / $102.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $16.54 / $29.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $13.55 / $14.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $15.04 / $18.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $6.26 / $13.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54