go back

Montana rates for HCPCS 68330

Repair of symblepharon; conjunctivoplasty, without graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.88 / $2,434.46 / $3,296.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.82 / $719.82 / $719.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.15 / $638.65 / $991.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.47 / $622.40 / $1,120.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.11 / $715.52 / $991.73
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
$874.05 / $1,012.67 / $1,169.81