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Montana rates for HCPCS V2213

Spherocylinder Bifocal Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $82.34 / $85.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $44.38 / $44.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.82 / $88.23 / $123.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $87.41 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.13 / $66.17