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Montana rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $26.89 / $40.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.97 / $28.92 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $29.02 / $37.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $17.78 / $63.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $26.58 / $31.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $34.77 / $48.80