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South Dakota rates for HCPCS V2300

Sphere, trifocal, plano to plus or minus 4.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $71.95 / $84.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $99.75 / $124.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.72 / $86.75 / $148.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $39.07 / $485.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $86.15 / $152.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $73.95 / $78.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $86.75 / $109.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $39.07 / $85.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $70.48 / $70.48