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Montana rates for HCPCS V2202

Sphere Bifocal Plus Or Minus 7.12 To Plus Or Minus 20.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $69.67 / $74.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.46 / $73.20 / $102.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $73.95 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $39.36 / $56.49