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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
$63.47 / $74.31 / $74.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.75 / $103.78 / $130.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $88.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $36.49 / $474.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $30.41 / $60.82