go back

Montana rates for HCPCS V2101

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

Facilitymedian $65 · 10th–90th $44–$810%50%10th90th$65Professionalmedian $45 · 10th–90th $35–$580%10%20%10th90th$45$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $44.67 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $81.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $47.86 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $47.86 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $24.55 / $37.15