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Montana rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $186.21 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $234.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $194.98 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $138.04