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South Dakota rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.52 / $52.03 / $65.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.97 / $90.00 / $112.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.52 / $61.07 / $101.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $30.54 / $391.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $67.33 / $119.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $55.15 / $60.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $61.21 / $76.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $24.39 / $50.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $55.09 / $55.09