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South Dakota rates for HCPCS V2797

Vision supply, accessory and/or service component of another HCPCS vision code

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $112.20 / $223.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15