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Montana rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $147.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $144.54 / $158.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $158.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $112.20 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $158.49