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South Dakota rates for HCPCS V2110

Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.51 / $49.91 / $57.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.97 / $74.25 / $92.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $58.62 / $96.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $29.30 / $375.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $64.59 / $114.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $52.91 / $58.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $58.72 / $73.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $23.40 / $48.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $52.85 / $52.85