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Montana rates for HCPCS V2301

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $78.53 / $106.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.44 / $67.43 / $92.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $83.37 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $46.07 / $66.08