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North Dakota rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.48 / $66.45 / $66.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.88 / $92.79 / $116.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $49.48 / $79.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $29.69 / $368.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.71 / $47.41