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Montana rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $1,239.83 / $1,239.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $1,239.83 / $1,239.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.12 / $1,450.00 / $4,561.46