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Montana rates for HCPCS 65265

Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.20 / $1,726.20 / $1,726.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.09 / $1,305.10 / $1,726.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.85 / $1,450.00 / $4,561.46