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South Dakota rates for HCPCS V2312

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $91.42 / $105.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.08 / $133.88 / $167.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.03 / $107.55 / $177.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.85 / $53.66 / $784.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $118.31 / $209.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $96.90 / $107.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.71 / $107.55 / $135.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.01 / $53.66 / $127.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.80 / $96.80 / $96.80