go back

Montana rates for HCPCS 65880

Severing Ads Ant Seg Incal Spx Corneovitreal

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.19 / $1,043.19 / $1,043.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.78 / $798.66 / $1,043.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00