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Montana rates for HCPCS V2211

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $84.00 / $84.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $42.55 / $42.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $84.59 / $118.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $90.08 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $44.22 / $44.22