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Montana rates for HCPCS V2531

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.91 / $526.22 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $282.08 / $282.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.14 / $471.49 / $658.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $558.65 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.98 / $293.18 / $420.61