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Montana rates for HCPCS V2303

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.51 / $74.26 / $77.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.90 / $59.10 / $82.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $78.84 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $38.45 / $55.17