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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $84.63 / $85.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $43.93 / $43.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.14 / $87.35 / $122.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $90.76 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.27 / $45.66 / $65.51