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Montana rates for HCPCS V2212

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Facilitymedian $120 · 10th–90th $81–$1480%20%40%10th90th$120Professionalmedian $78 · 10th–90th $65–$930%20%10th90th$78$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $120.23 / $147.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $120.23 / $147.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $91.20 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $66.07