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South Dakota rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $44.91 / $64.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $62.25 / $77.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $65.77 / $109.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $26.32 / $328.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $54.49 / $96.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $49.35 / $56.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $66.06 / $83.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.71 / $54.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.59 / $44.59 / $44.59