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Montana rates for HCPCS 67880

Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.74 / $403.33 / $760.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.28 / $576.28 / $735.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.28 / $576.28 / $576.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.20 / $473.89 / $752.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.82 / $513.00 / $700.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.93 / $558.49 / $752.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.20 / $759.79 / $877.69