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Montana rates for HCPCS 65775

Corneal wedge resection for correction of surgically induced astigmatism

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.37 / $2,984.81 / $2,984.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.12 / $899.12 / $899.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.03 / $560.24 / $907.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.20 / $899.12 / $1,120.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.57 / $765.82 / $1,065.19
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
$816.78 / $923.94 / $1,067.31