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Montana rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $66.06 / $83.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.35 / $54.63 / $76.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $70.14 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $37.57 / $53.90