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Montana rates for HCPCS 67107

Repair Retinal Detachment Scleral Buckling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,062.00 / $11,062.00 / $11,062.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.76 / $1,747.76 / $1,747.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,470.56 / $2,565.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00