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North Dakota rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.28 / $88.04 / $88.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $123.09 / $154.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.28 / $83.28 / $105.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $41.88 / $538.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $39.90 / $79.80