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Montana rates for HCPCS 67110

Rpr Retinal Dtchmnt Injection Air/Other Gas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.26 / $749.55 / $1,413.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.85 / $1,270.85 / $1,393.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.85 / $1,270.85 / $1,270.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.85 / $887.37 / $1,428.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.85 / $1,052.29 / $2,137.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.03 / $1,140.94 / $1,504.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.56 / $1,431.27 / $1,757.70