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Montana rates for HCPCS V2300

Sphere Trifocal Plano To Plus Or Minus 4.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $74.73 / $81.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $37.59 / $37.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $62.10 / $86.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $79.34 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.32 / $39.07 / $56.06