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Montana rates for HCPCS 65112

Exenteration Orbit Rmvl Orbit Contents & Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.94 / $7,775.82 / $7,775.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,370.83 / $2,370.83 / $2,370.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.31 / $1,485.95 / $2,370.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,796.31 / $2,370.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.93 / $2,038.52 / $2,821.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.66 / $2,409.32 / $4,150.47