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Montana rates for HCPCS V2208

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.77 / $59.37 / $68.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.94 / $59.14 / $82.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $63.03 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $35.90 / $35.90