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North Dakota rates for HCPCS V2521

Contact lens, hydrophilic, toric, or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $199.53 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $194.98