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South Dakota rates for HCPCS V2306

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $80.59 / $108.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.88 / $111.38 / $139.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.71 / $111.32 / $183.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $48.01 / $635.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.84 / $187.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $94.88 / $95.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.84 / $111.32 / $139.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $44.35 / $92.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $86.60 / $86.60