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Montana rates for HCPCS V2209

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $67.86 / $68.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $37.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $59.93 / $83.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $72.75 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $38.65 / $55.47