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Montana rates for HCPCS V2782

Lens Index 1.54 To 1.65 Plastic Or 1.60 To 1.79 Glass Excludes Polycarbonate Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $62.57 / $68.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.61 / $56.22 / $78.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $66.42 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $34.63 / $49.68