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Montana rates for HCPCS V2500

Contact Lens,Pmma,Spherical, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $106.78 / $107.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.62 / $73.88 / $103.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $113.89 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $48.67 / $69.81