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Montana rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.58 / $2,028.09 / $4,810.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.46 / $1,517.46 / $1,517.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.18 / $876.28 / $1,517.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.13 / $1,049.80 / $1,517.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.61 / $1,310.28 / $1,810.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.08 / $1,490.00 / $7,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.23 / $1,484.79 / $1,715.19