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Montana rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.17 / $1,226.17 / $1,226.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.06 / $820.80 / $1,226.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00