go back

Montana rates for HCPCS V2313

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.85 / $101.88 / $111.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $57.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $96.31 / $120.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $108.16 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $59.93 / $85.97