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Montana rates for HCPCS V2206

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $64.88 / $66.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $36.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.81 / $53.96 / $75.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $68.88 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $37.61 / $53.96