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North Dakota rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.21 / $54.21 / $54.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.75 / $95.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.21 / $54.73 / $65.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $26.91 / $397.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $25.81 / $52.44