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Montana rates for HCPCS 67225

Dstrj Lesion Choroid Pdt 2nd Eye 1 Session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $148.65 / $156.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $31.41 / $48.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $38.82 / $50.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $49.31 / $59.51