go back

South Dakota rates for HCPCS V2102

Sphere Single Vision Plus Or Minus 7.12 To Plus Or Minus 20.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.38 / $77.65 / $90.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.89 / $107.63 / $134.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.38 / $92.51 / $153.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $37.02 / $462.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $76.66 / $135.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $69.41 / $79.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.50 / $92.91 / $116.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $34.76 / $77.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $62.72 / $62.72