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Montana rates for HCPCS 68328

Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.40 / $1,098.40 / $1,098.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.15 / $980.00 / $1,539.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00