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Montana rates for HCPCS 67220

Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.27 / $924.13 / $1,743.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.71 / $778.71 / $778.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.47 / $824.11 / $1,070.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.71 / $1,005.48 / $1,298.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.48 / $707.62 / $1,012.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.83 / $890.31 / $1,447.61