go back

Montana rates for HCPCS 23616

Optx Prox Humrl Fx W/Int Fixj Rpr Tubrst Rplcmt

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.71 / $1,960.71 / $1,960.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.06 / $1,331.08 / $1,960.71