go back

Montana rates for HCPCS 68325

Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.29 / $3,469.72 / $3,469.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.26 / $1,024.26 / $1,024.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.36 / $662.61 / $1,087.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.46 / $840.00 / $1,333.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.71 / $868.02 / $1,211.07
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
$965.12 / $1,076.47 / $1,243.51