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South Dakota rates for HCPCS V2313

Spherocylinder Trifocal Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.18 / $102.10 / $117.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.02 / $146.25 / $182.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $120.12 / $198.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $59.93 / $859.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $132.13 / $234.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.39 / $108.22 / $119.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.19 / $120.12 / $151.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $49.94 / $99.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.11 / $108.11 / $108.11