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Montana rates for HCPCS 67036

Vitrectomy Mechanical Pars Plana

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,148.95 / $5,007.60 / $5,783.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.87 / $832.63 / $5,621.40
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
$1,398.10 / $1,398.10 / $1,398.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.10 / $1,398.10 / $1,398.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.48 / $966.22 / $1,482.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.69 / $1,173.05 / $3,591.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.84 / $1,188.36 / $1,653.74
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
$1,322.88 / $1,475.52 / $1,780.80