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Montana rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $45.60 / $57.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.49 / $47.27 / $66.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $48.41 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $24.71 / $24.71