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Montana rates for HCPCS 65285

Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,763.00 / $19,763.00 / $19,763.00
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
$1,723.57 / $1,723.57 / $1,723.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.77 / $1,258.64 / $1,723.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00