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Montana rates for HCPCS V2201

Sphere Bifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $63.35 / $65.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.93 / $55.36 / $77.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $67.25 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $33.46 / $48.00