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South Dakota rates for HCPCS V2213

Spherocylinder Bifocal Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.81 / $81.72 / $120.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.08 / $113.25 / $141.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $123.25 / $203.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $49.12 / $613.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.00 / $101.71 / $180.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $92.09 / $105.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.83 / $123.28 / $155.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $46.13 / $102.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.21 / $83.21 / $83.21