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Montana rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $1,862.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $933.25 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,778.28