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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
$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