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North Dakota rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $109.65 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $60.26