go back

Montana rates for HCPCS V2309

Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.59 / $92.53 / $98.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $49.92 / $49.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.08 / $75.95 / $104.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $98.23 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $51.89 / $74.44