go back

Montana rates for HCPCS V2745

Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $12.03 / $14.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $9.02 / $12.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $12.91 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $6.15 / $8.82