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Montana rates for HCPCS 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.37 / $454.31 / $1,228.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$639.87 / $639.87 / $681.48
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
$339.14 / $339.14 / $382.26
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 / $500.95 / $867.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $498.51 / $1,026.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.76 / $338.08 / $671.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.00 / $837.20 / $984.05