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Montana rates for HCPCS V2107

Spherocylinder Single Vision Plus Or Minus 4.25 To Plus Or Minus 7.00 Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.01 / $45.47 / $57.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $40.33 / $56.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $48.27 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $25.91 / $37.18