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South Dakota rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.52 / $47.71 / $66.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $66.00 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $68.18 / $112.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $27.16 / $339.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $59.17 / $104.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.46 / $53.58 / $58.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.87 / $68.18 / $85.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $26.83 / $56.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $48.41 / $48.41