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Montana rates for HCPCS 65815

Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,047.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,174.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $660.69 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,202.26