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South Dakota rates for HCPCS V2206

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $64.08 / $73.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.77 / $100.50 / $125.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $75.27 / $124.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $37.61 / $449.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $84.00 / $147.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.26 / $67.92 / $75.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.88 / $75.39 / $94.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $31.34 / $95.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $67.84 / $67.84