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Montana rates for HCPCS V2311

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.31 / $88.20 / $112.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $51.33 / $51.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.73 / $78.09 / $106.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $93.64 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $53.35 / $76.54