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Montana rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53