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Montana rates for HCPCS 66989

Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.10 / $761.10 / $1,356.62
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$155.28 / $155.28 / $155.28
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
$1,333.96 / $1,333.96 / $1,333.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.95 / $1,333.95 / $1,333.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.83 / $1,112.96 / $1,333.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.95 / $1,333.95 / $1,333.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.66 / $1,134.29 / $1,578.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.76 / $1,435.50 / $1,732.51