go back

Montana rates for HCPCS 65436

Removal of corneal epithelium; with application of chelating agent (eg, EDTA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.16 / $1,956.24 / $2,053.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.38 / $578.38 / $608.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.38 / $578.38 / $578.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.02 / $391.31 / $637.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.79 / $355.14 / $578.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.94 / $515.59 / $683.51
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
$569.91 / $625.29 / $767.20