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Montana rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.42 / $5,148.08 / $5,148.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.76 / $1,533.76 / $1,533.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.27 / $971.61 / $1,576.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.80 / $1,145.70 / $1,533.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.56 / $1,309.82 / $1,820.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.89 / $1,596.17 / $1,843.85