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Montana rates for HCPCS 66170

Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.95 / $1,710.95 / $1,710.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.20 / $1,423.35 / $1,710.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00