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Montana rates for HCPCS 66179

Aqueous Shunt Extraocular Reservoir W/O Graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.40 / $1,689.40 / $1,689.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.40 / $1,689.40 / $1,689.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00