go back

Montana rates for HCPCS 68200

Subconjunctival Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $37.09 / $183.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $53.11 / $65.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.11 / $53.11 / $53.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $44.15 / $67.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $52.42 / $66.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $49.50 / $67.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $69.03 / $83.31