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Montana rates for HCPCS V2502

Contact Lens Pmma,Bifocal, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.47 / $150.99 / $160.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $87.87 / $87.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.43 / $149.72 / $205.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $160.30 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $91.33 / $131.02