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Montana rates for HCPCS 67405

Orbitotomy W/O Bone Flap Expl W/Drainage Only

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.29 / $1,422.29 / $1,422.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.91 / $1,120.00 / $1,422.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00