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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
$1,737.80 / $1,737.80 / $1,737.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44