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South Dakota rates for HCPCS V2430

Variable Asphericity Lens Bifocal Full Field Glass Or Plastic Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.93 / $109.42 / $144.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.61 / $151.50 / $189.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.11 / $147.57 / $243.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.80 / $64.70 / $1,015.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $142.66 / $252.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.84 / $125.81 / $129.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.10 / $147.57 / $185.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $58.80 / $122.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.73 / $116.73 / $116.73