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Montana rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $44.34 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $44.86 / $62.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $47.07 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $23.46 / $33.65