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Montana rates for HCPCS 66740

Ciliary body destruction; cyclodialysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.43 / $2,072.17 / $2,335.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.55 / $612.55 / $690.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.55 / $612.55 / $612.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.62 / $442.18 / $718.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.03 / $612.55 / $1,145.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.12 / $549.84 / $723.12
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
$644.15 / $722.11 / $834.16