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South Dakota rates for HCPCS V2215

Lenticular (myodisc), per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $88.71 / $106.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $147.75 / $184.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.92 / $104.37 / $172.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.59 / $50.90 / $794.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $112.23 / $198.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.98 / $91.92 / $101.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $104.37 / $131.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $41.59 / $86.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.83 / $91.83 / $91.83