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South Dakota rates for HCPCS V2207

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $61.35 / $75.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $84.75 / $105.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.49 / $76.81 / $126.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.61 / $34.21 / $413.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.00 / $75.44 / $133.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $65.48 / $68.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $76.81 / $96.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $30.61 / $63.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.72 / $61.72 / $61.72