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Montana rates for HCPCS V2221

Lenticular Lens,Per Lens, Bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.92 / $95.89 / $105.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $50.89 / $50.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $81.08 / $109.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $101.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $52.89 / $75.88