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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
$34.67 / $44.67 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $46.77 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $22.39 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.42 / $44.67