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Montana rates for HCPCS 67041

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.03 / $1,133.72 / $3,729.60
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
$1,777.73 / $1,777.73 / $1,777.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.73 / $1,777.73 / $1,777.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.09 / $1,271.13 / $1,899.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.01 / $1,595.01 / $1,777.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.52 / $1,513.76 / $2,108.37
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
$1,692.09 / $1,919.87 / $2,180.19