go back

Montana rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.37 / $439.33 / $798.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.14 / $339.14 / $424.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $339.14 / $339.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.14 / $490.27 / $861.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $624.37 / $1,026.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.76 / $339.14 / $657.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.06 / $861.30 / $994.95