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Montana rates for HCPCS 00142

Anesthesia for procedures on eye; lens surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$128.82 / $812.83 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.61 / $467.74 / $602.56
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$57.54 / $181.97 / $416.87
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$114.82 / $331.13 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $2,238.72 / $3,311.31