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Montana rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

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
$1,409.14 / $1,409.14 / $1,409.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,094.13 / $1,409.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00