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North Dakota rates for HCPCS V2106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.42 / $53.43 / $53.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $74.61 / $93.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.42 / $45.42 / $63.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.76 / $26.11 / $347.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $21.76 / $63.80