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South Dakota rates for HCPCS V2212

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.05 / $77.70 / $119.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.03 / $107.63 / $134.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.05 / $122.04 / $201.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.66 / $48.62 / $607.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.68 / $178.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.46 / $91.16 / $104.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $122.04 / $153.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $45.66 / $101.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.38 / $82.38 / $82.38