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South Dakota rates for HCPCS V2308

Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $83.46 / $95.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.78 / $115.88 / $144.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.89 / $98.19 / $162.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $47.63 / $537.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $105.02 / $186.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.71 / $86.02 / $95.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $98.19 / $123.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $39.69 / $81.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $85.92 / $85.92