go back

Montana rates for HCPCS 67345

Chemodenervation Extraocular Muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.88 / $189.05 / $1,136.29
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
$338.62 / $338.62 / $381.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.62 / $338.62 / $338.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $247.23 / $400.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.42 / $290.44 / $347.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $304.77 / $400.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $300.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.84 / $394.44 / $454.74