go back

Montana rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11