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Montana rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.23 / $120.44 / $125.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.34 / $110.91 / $143.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $127.86 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.58 / $71.45 / $119.08