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Montana rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Facilitymedian $102 · 10th–90th $76–$1290%50%10th90th$102Professionalmedian $85 · 10th–90th $63–$1020%20%10th90th$85$10.0$20.0$50.0$100.0$200.0

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
$63.10 / $85.11 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $128.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $93.33 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $63.10