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Montana rates for HCPCS V2106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.93 / $52.46 / $52.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.03 / $39.09 / $54.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $55.69 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $27.25 / $39.09