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North Dakota rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $87.08 / $87.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.38 / $121.58 / $152.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.08 / $78.08 / $103.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $43.22 / $710.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $37.40 / $74.81