go back

South Dakota rates for HCPCS V2302

Sphere Trifocal Plus Or Minus 7.12 To Plus Or Minus 20.00 Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.63 / $82.44 / $96.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.25 / $114.00 / $142.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.12 / $98.42 / $162.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $49.10 / $604.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $108.26 / $191.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.90 / $88.67 / $98.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $98.42 / $123.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.45 / $40.92 / $86.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.58 / $88.58 / $88.58