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Montana rates for HCPCS 68400

Incision, drainage of lacrimal gland

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.93 / $693.07 / $1,582.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.59 / $205.59 / $205.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.33 / $218.25 / $466.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.21 / $201.27 / $361.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.79 / $286.94 / $478.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.61 / $473.09 / $556.09