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Montana rates for HCPCS V2306

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $79.37 / $112.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $46.19 / $46.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.16 / $79.66 / $111.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $84.26 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.39 / $48.01 / $68.87