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Montana rates for HCPCS 66174

Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.62 / $875.54 / $5,400.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.41 / $976.41 / $976.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.41 / $976.41 / $976.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.79 / $976.41 / $1,559.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.41 / $976.41 / $976.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.38 / $1,007.80 / $1,358.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.04 / $1,579.43 / $1,850.25