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Montana rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.60 / $1,316.60 / $1,316.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.52 / $1,068.75 / $1,316.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.29 / $1,450.00 / $4,561.46