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South Dakota rates for HCPCS V2214

Spherocylinder Bifocal Sphere Over Plus Or Minus 12.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $86.67 / $114.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $118.13 / $147.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.72 / $117.18 / $193.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $51.62 / $618.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.00 / $113.83 / $201.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $99.87 / $103.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.73 / $117.18 / $147.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $46.68 / $103.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13