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Montana rates for HCPCS 67218

Dstrj Lesion Retina 1/> Sess Radj Impltj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.91 / $2,192.06 / $7,336.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.14 / $2,163.14 / $2,163.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.69 / $1,409.78 / $2,275.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,716.26 / $2,424.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.61 / $1,851.07 / $2,571.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.32 / $2,234.98 / $2,640.47