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Montana rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $500.82 / $969.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.44 / $946.44 / $946.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.44 / $946.44 / $946.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.63 / $587.00 / $955.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.66 / $769.50 / $946.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.65 / $808.44 / $1,123.67
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
$870.27 / $971.50 / $1,122.25