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South Dakota rates for HCPCS V2310

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $102.33 / $173.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $40.74 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33