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North Dakota rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $41.69 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $70.79 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $40.74 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.42 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.05 / $38.90