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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
$91.20 / $114.82 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $138.04 / $173.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $173.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $144.54 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $100.00