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Montana rates for HCPCS V2319

Trifocal seg width over 28 mm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $49.16 / $58.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $28.61 / $28.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.85 / $42.66 / $59.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $52.19 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.87 / $29.74 / $42.66