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North Dakota rates for HCPCS V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $48 · 10th–90th $34–$650%20%40%10th90th$48Professionalmedian $36 · 10th–90th $20–$470%20%10th90th$36$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $60.26 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $54.95