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Montana rates for HCPCS V2210

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.93 / $77.58 / $77.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $41.03 / $41.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $63.91 / $89.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $82.50 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $42.65 / $61.17