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North Dakota rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.08 / $119.95 / $119.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.13 / $167.79 / $210.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.08 / $119.95 / $143.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $59.54 / $897.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $57.06 / $114.11