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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
$50.12 / $57.54 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $77.62 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.88 / $416.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.90 / $64.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66