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North Dakota rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.06 / $70.06 / $73.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.13 / $98.10 / $123.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.06 / $73.63 / $88.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $35.28 / $500.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $34.78 / $83.65