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South Dakota rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $47.73 / $56.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $66.00 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.29 / $57.64 / $95.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $28.29 / $287.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $62.37 / $110.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $51.08 / $56.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $57.64 / $72.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $22.96 / $47.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.03 / $51.03 / $51.03