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Montana rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Facilitymedian $98 · 10th–90th $71–$1230%50%10th90th$98Professionalmedian $72 · 10th–90th $58–$950%20%40%10th90th$72$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $70.79 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $123.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $123.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $102.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $75.86 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $61.66