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South Dakota rates for HCPCS V2211

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $74.25 / $115.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $102.75 / $128.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.70 / $118.15 / $195.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $47.09 / $588.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $97.50 / $172.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $88.28 / $100.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.58 / $118.19 / $148.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $44.22 / $94.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.78 / $79.78 / $79.78