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South Dakota rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $46.43 / $53.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.59 / $73.88 / $92.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $54.59 / $90.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.76 / $27.25 / $347.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $60.08 / $106.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $49.21 / $54.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $54.62 / $68.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $22.71 / $47.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.16 / $49.16 / $49.16