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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
$38.02 / $43.65 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $83.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $54.95 / $69.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $26.92 / $38.90