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Montana rates for HCPCS V2797

Vision supply, accessory and/or service component of another HCPCS vision code

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $158.49 / $158.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $134.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00