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North Dakota rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $61.84 / $66.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $86.36 / $108.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.84 / $66.28 / $79.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $31.76 / $444.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $29.41 / $63.51