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North Dakota rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $47.58 / $47.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $83.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $46.59 / $56.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $23.62 / $332.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $22.32 / $74.98