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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $39.34 / $42.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $54.92 / $69.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $42.01 / $50.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $20.13 / $261.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $18.71 / $62.00