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South Dakota rates for HCPCS V2202

Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $102.33 / $173.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $512.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $85.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79