go back

Montana rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.06 / $4,265.22 / $4,265.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.19 / $1,359.19 / $1,359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.06 / $761.06 / $1,359.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.32 / $980.00 / $1,359.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.56 / $1,175.08 / $1,621.68
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
$1,112.47 / $1,314.28 / $2,385.57