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Montana rates for HCPCS V2512

Contact lens, gas permeable, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.60 / $186.49 / $263.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $108.53 / $108.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.41 / $165.13 / $226.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $197.98 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.95 / $112.80 / $161.83