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Montana rates for HCPCS 65105

Enucleation of eye; with implant, muscles attached to implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.68 / $1,501.68 / $1,501.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.27 / $1,120.00 / $1,501.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00