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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $44.36 / $55.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $48.79 / $68.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $47.10 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $26.83 / $44.72