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Montana rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $208.93 / $257.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $257.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $218.78 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $104.71 / $151.36