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Montana rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $660.69 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $954.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,202.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $588.84 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,174.90