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Montana rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Facilitymedian $48 · 10th–90th $38–$600%50%10th90th$48Professionalmedian $44 · 10th–90th $36–$480%20%10th90th$44$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
$38.02 / $43.65 / $47.86
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
$38.02 / $47.86 / $60.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $52.48 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $24.55 / $37.15