go back

Montana rates for HCPCS 65865

Severing Ads Ant Seg Incal Tq Spx Goniosynechiae

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.27 / $749.27 / $749.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.76 / $700.00 / $1,145.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00