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Montana rates for HCPCS 66761

Iridotomy/Irridectomy Laser Surg Per Session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.86 / $290.12 / $1,249.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$269.81 / $442.29 / $742.89
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$214.52 / $937.04 / $1,200.02
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$42.90 / $187.41 / $240.00
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
$369.64 / $369.64 / $469.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.64 / $369.64 / $369.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.75 / $388.19 / $486.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.64 / $428.63 / $820.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.09 / $369.35 / $486.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.48 / $500.91 / $651.34