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South Dakota rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Facilitymedian $50 · 10th–90th $33–$870%20%10th90th$50Professionalmedian $38 · 10th–90th $23–$680%20%10th90th$38$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $85.11
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $53.70 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $56.23 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $47.86
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15