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Montana rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Facilitymedian $65 · 10th–90th $50–$790%50%10th90th$65Professionalmedian $54 · 10th–90th $44–$1260%20%10th90th$54$20.0$50.0$100.0

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
$43.65 / $53.70 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $79.43
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $75.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.90 / $46.77