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Montana rates for HCPCS V2321

Lenticular Lens, Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.26 / $116.43 / $125.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $67.76 / $67.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.17 / $105.23 / $141.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $123.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.65 / $70.42 / $101.04