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Montana rates for HCPCS 67911

Correction of lid retraction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.08 / $536.48 / $2,960.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.88 / $873.88 / $873.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.88 / $873.88 / $873.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.25 / $566.51 / $925.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.19 / $873.88 / $1,463.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.10 / $741.07 / $1,033.11
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
$824.72 / $908.58 / $1,062.61