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South Dakota rates for HCPCS V2200

Sphere, bifocal, plano to plus or minus 4.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $53.28 / $64.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $90.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.47 / $65.94 / $108.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $31.73 / $393.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $69.97 / $124.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.21 / $57.30 / $63.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.76 / $65.94 / $82.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $26.27 / $62.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.25 / $57.25 / $57.25