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Montana rates for HCPCS V2762

Polarization, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.34 / $57.92 / $63.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $30.85 / $30.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $52.07 / $72.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $61.49 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $32.07 / $46.01