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Montana rates for HCPCS 65210

Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $54.95 / $95.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $112.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $66.07 / $114.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $114.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $63.10 / $93.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $61.66 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $104.71