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Montana rates for HCPCS V2530

Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $220.80 / $298.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $128.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.97 / $212.78 / $291.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $234.40 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $133.55 / $191.59