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Montana rates for HCPCS 66225

Repair of scleral staphyloma; with graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.20 / $1,461.20 / $1,461.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.30 / $1,124.99 / $2,308.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00