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Montana rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.45 / $5,058.45 / $5,058.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.76 / $1,505.36 / $4,074.76
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
$2,067.96 / $2,067.96 / $2,067.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.96 / $2,067.96 / $2,067.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.62 / $1,677.41 / $2,871.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.96 / $2,067.96 / $2,104.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.21 / $1,761.25 / $2,871.59
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
$1,968.20 / $2,277.15 / $2,725.19