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North Dakota rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.71 / $47.71 / $56.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $83.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.71 / $56.69 / $68.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $27.16 / $339.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $22.36 / $54.32