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Montana rates for HCPCS 65272

Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.12 / $1,868.74 / $2,779.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.55 / $551.55 / $551.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $520.70 / $829.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.70 / $503.16 / $840.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.26 / $551.55 / $842.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.77 / $852.60 / $984.91