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South Dakota rates for HCPCS V2309

Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $87.60 / $101.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $121.13 / $151.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.57 / $104.01 / $171.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $51.89 / $597.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $114.41 / $202.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.66 / $93.71 / $103.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $104.01 / $130.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $51.89 / $104.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.61 / $93.61 / $93.61