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Montana rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $55.94 / $78.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $32.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $47.83 / $66.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $59.38 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.13 / $33.34 / $47.83