go back

Montana rates for HCPCS 92317

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $26.81 / $114.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $28.87 / $122.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $42.27 / $136.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $78.66 / $392.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $36.08 / $136.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.40 / $129.91 / $155.44