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Montana rates for HCPCS V2215

Lenticular (Myodisc), Per Lens, Bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.34 / $102.79 / $103.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $48.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.29 / $76.23 / $104.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $110.24 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $50.90 / $73.02