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Montana rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.12 / $562.94 / $1,043.48
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
$429.58 / $429.58 / $464.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.58 / $429.58 / $429.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.91 / $464.81 / $1,182.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.58 / $695.57 / $2,137.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.30 / $394.60 / $647.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.99 / $529.20 / $1,139.04