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Montana rates for HCPCS 92136

Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.48 / $106.48 / $158.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $84.81 / $125.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.33 / $32.04 / $70.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$51.30 / $205.20 / $334.86
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$28.48 / $35.57 / $167.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.88 / $58.14 / $85.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.84 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $46.80 / $74.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $88.13 / $181.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.80 / $46.80 / $55.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $93.42 / $165.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.16 / $46.80 / $68.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.61 / $60.79 / $96.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $96.61 / $154.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.80 / $46.80 / $55.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $90.52 / $147.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.95 / $46.80 / $53.89
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.61 / $55.22 / $96.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.56 / $107.61 / $139.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.70 / $49.28 / $55.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.36 / $51.92 / $91.29