go back

Montana rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.94 / $2,446.17 / $3,114.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.77 / $718.77 / $718.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.65 / $584.54 / $950.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.74 / $684.26 / $1,120.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.32 / $702.60 / $950.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.49 / $960.47 / $1,159.19