go back

Montana rates for HCPCS 67906

Rpr Blepharoptosis Superior Rectus Fascial Sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.04 / $2,674.66 / $2,674.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.65 / $787.65 / $787.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.37 / $521.27 / $836.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.15 / $787.65 / $1,539.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.63 / $669.58 / $933.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.16 / $831.13 / $1,372.71