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North Dakota rates for HCPCS V2305

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.28 / $78.28 / $82.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.38 / $109.46 / $137.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.28 / $82.28 / $98.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $39.43 / $529.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $38.85 / $78.84