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Montana rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.84 / $147.63 / $148.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $80.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.75 / $123.13 / $168.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $157.47 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $84.11 / $120.67