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Contact Lens, PMMA, Toric or Prism Ballast

Montana rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $129$2240%50%10th90th$178Professionalmedian $123 · 10th–90th $100$1780%20%40%10th90th$123$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$112.20