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Montana rates for HCPCS 67228

Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.20 / $502.20 / $502.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.44 / $957.87 / $1,722.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.17 / $472.17 / $531.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.17 / $472.17 / $472.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.76 / $531.58 / $1,645.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.17 / $994.64 / $1,410.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.39 / $452.34 / $969.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.92 / $570.54 / $1,003.10