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North Dakota rates for HCPCS V2110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $53.67 / $53.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $74.98 / $94.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.83 / $48.83 / $64.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $26.64 / $375.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $23.40 / $46.79