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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
$10.47 / $15.85 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $20.42 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.42 / $25.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $20.42 / $21.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $14.13