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Montana rates for HCPCS V2755

U-V lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $17.60 / $23.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $15.38 / $21.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $18.69 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.94 / $14.27