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Montana rates for HCPCS V2314

Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.33 / $106.41 / $112.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $61.92 / $61.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.26 / $92.33 / $129.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $112.96 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.16 / $64.36 / $92.33