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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
$81.28 / $100.00 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $117.49 / $147.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $147.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $123.03 / $128.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $85.11