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Montana rates for HCPCS V2121

Lenticular lens, per lens, single

Facilitymedian $91 · 10th–90th $72–$1150%50%10th90th$91Professionalmedian $89 · 10th–90th $62–$980%20%40%10th90th$89$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
$61.66 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $114.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $114.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $97.72 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $64.57