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Montana rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.12 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $28.84 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.84 / $32.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $32.36 / $38.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $32.36 / $38.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $21.88 / $43.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $28.84 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $31.62 / $39.81