go back

Montana rates for HCPCS V2207

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $75.86 / $93.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $93.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $74.13 / $77.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $48.98