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South Dakota rates for HCPCS V2318

Aniseikonic Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.44 / $153.55 / $171.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.22 / $204.00 / $255.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.93 / $176.06 / $290.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.14 / $87.83 / $1,792.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.00 / $208.78 / $370.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $170.98 / $189.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.86 / $176.06 / $221.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.77 / $87.83 / $176.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.82 / $170.82 / $170.82