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Montana rates for HCPCS 65101

Enucleation of eye; without implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.16 / $1,338.16 / $1,338.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.24 / $957.60 / $1,338.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00