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South Dakota rates for HCPCS V2208

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $62.90 / $80.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $83.63 / $104.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.76 / $82.65 / $136.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $37.47 / $441.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $82.61 / $146.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $70.44 / $74.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.93 / $82.65 / $103.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $29.93 / $68.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $67.59 / $67.59