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Montana rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.64 / $2,193.64 / $2,193.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,723.63 / $3,078.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.00 / $2,680.00 / $2,680.00