go back

Montana rates for HCPCS 92355

Fitting of spectacle mounted low vision aid; telescopic or other compound lens system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $31.65 / $37.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $123.69 / $176.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $29.60 / $34.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $34.22 / $74.40