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South Dakota rates for HCPCS V2221

Lenticular Lens,Per Lens, Bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $88.80 / $106.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.51 / $123.00 / $153.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.92 / $109.35 / $180.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $52.89 / $908.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $116.62 / $206.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.20 / $95.51 / $105.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $109.35 / $137.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $44.08 / $90.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $95.42 / $95.42