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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
$156.22 / $157.83 / $199.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $139.75 / $191.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $167.55 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.28 / $95.46 / $136.94