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Montana rates for HCPCS V2513

Contact lens, gas permeable, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $208.93
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
$144.54 / $186.21 / $229.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $194.98 / $213.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $134.90