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Montana rates for HCPCS 65093

Evisceration Ocular Contents W/Implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.39 / $1,159.39 / $1,159.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.23 / $1,060.20 / $1,159.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.77 / $1,490.00 / $7,542.00