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Montana rates for HCPCS V2631

Iris Supported Intraocular Lens (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.46 / $118.66 / $125.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.79 / $142.87 / $142.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $125.10 / $135.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.06 / $60.58 / $100.97