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Montana rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.63 / $664.29 / $2,700.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.20 / $870.20 / $1,179.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.20 / $870.20 / $870.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.96 / $790.60 / $1,230.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.06 / $870.20 / $1,145.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.30 / $868.11 / $1,210.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.72 / $1,238.86 / $1,431.11