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Montana rates for HCPCS 67400

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,230.27 / $1,230.27 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,621.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $1,995.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,000.00 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $1,949.84