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Montana rates for HCPCS 67208

Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.27 / $534.74 / $3,048.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.70 / $900.70 / $942.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.70 / $900.70 / $900.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.39 / $604.80 / $985.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.45 / $721.54 / $969.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.13 / $802.03 / $1,065.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.00 / $985.99 / $1,138.99