go back

Montana rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $50.49 / $60.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.77 / $43.81 / $61.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $53.60 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $30.54 / $43.81