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South Dakota rates for HCPCS V2210

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.16 / $75.89 / $87.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $105.38 / $131.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.16 / $89.28 / $147.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $42.65 / $466.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $94.03 / $166.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.12 / $77.00 / $85.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $89.28 / $112.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $35.58 / $74.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.93 / $76.93 / $76.93