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Montana rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.34 / $1,321.34 / $1,321.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.08 / $1,120.00 / $3,384.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00