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Montana rates for HCPCS 0464T

Visual Ep Testing For Glaucoma W/Interpj & Reprt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $71.68 / $110.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.52 / $112.52 / $133.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $101.27 / $112.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $74.98 / $112.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.51 / $101.27 / $149.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.13 / $117.15 / $133.31