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South Dakota rates for HCPCS V2782

Lens Index 1.54 To 1.65 Plastic Or 1.60 To 1.79 Glass Excludes Polycarbonate Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.53 / $65.09 / $76.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $90.00 / $112.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $78.55 / $129.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $38.56 / $391.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $85.02 / $150.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $69.64 / $76.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.52 / $78.55 / $98.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $38.56 / $77.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $69.56 / $69.56