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South Dakota rates for HCPCS V2112

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 2.25d To 4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $56.81 / $73.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.92 / $101.63 / $127.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.07 / $66.66 / $110.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $33.34 / $441.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $73.51 / $130.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.96 / $60.20 / $66.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.74 / $66.83 / $84.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $27.79 / $55.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $60.15 / $60.15