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Montana rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $956.70 / $6,142.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.44 / $1,802.44 / $1,802.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.44 / $1,802.44 / $1,802.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.46 / $1,176.56 / $1,920.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.18 / $1,383.18 / $1,802.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.40 / $1,534.85 / $2,136.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $1,410.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.97 / $1,878.14 / $2,207.65