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Single Vision Spherocylinder, Plano to +/-4.00d/0.12-2.00d

North Dakota rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $42 · 10th–90th $31$580%20%40%10th90th$42Professionalmedian $33 · 10th–90th $19$430%20%10th90th$33$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.95
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$53.70