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Montana rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
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
$867.57 / $867.57 / $867.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.80 / $815.46 / $1,120.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00