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Montana rates for HCPCS V2305

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $77.34 / $93.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $44.86 / $44.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.20 / $71.11 / $98.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $82.11 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.14 / $46.62 / $66.88