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Montana rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.00 / $14.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $10.19 / $13.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $15.02 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.96 / $10.48