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North Dakota rates for HCPCS V2522

Contact Lens Hydrophillic Bifocal Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.35 / $178.11 / $178.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.38 / $248.84 / $312.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.35 / $178.11 / $212.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $88.41 / $1,614.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.84 / $84.49 / $280.68