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Montana rates for HCPCS V2200

Sphere, bifocal, plano to plus or minus 4.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $62.46 / $63.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.45 / $47.19 / $65.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $66.98 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $30.70 / $44.04