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Montana rates for HCPCS V2312

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $90.83 / $106.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $51.62 / $51.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.08 / $86.24 / $107.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $96.43 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $53.66 / $76.98