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North Dakota rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $65.05 / $65.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.90 / $114.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.90 / $50.90 / $77.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $30.54 / $391.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $24.39 / $48.77