go back

North Dakota rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $88.74 / $88.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $124.23 / $156.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $105.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $44.05 / $585.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $36.90 / $84.33