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South Dakota rates for HCPCS V2410

Variable asphericity lens, single vision, full field, glass or plastic, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $103.37 / $140.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.32 / $143.25 / $179.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.13 / $142.90 / $236.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.69 / $57.17 / $714.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.38 / $122.00 / $209.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.96 / $107.19 / $122.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $143.49 / $180.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $53.69 / $119.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.86 / $96.86 / $96.86