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Montana rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.75 / $1,003.75 / $1,003.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.07 / $1,003.75 / $1,120.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00