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Montana rates for HCPCS 67145

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.65 / $676.08 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $416.87 / $891.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $416.87 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $645.65 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $323.59 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $977.24