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Montana rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $66 · 10th–90th $46–$830%50%10th90th$66Professionalmedian $47 · 10th–90th $39–$550%20%10th90th$47$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
$38.90 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $83.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $83.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $40.74