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Montana rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $86.45 / $88.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $48.24 / $48.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.87 / $83.86 / $117.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $91.77 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $50.14 / $50.14