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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
$83.97 / $83.97 / $83.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $56.32 / $86.53
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.47 / $94.47 / $94.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $55.73 / $59.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.73 / $55.73 / $55.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $56.50 / $112.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $55.55 / $86.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $54.23 / $78.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $80.61 / $108.64