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Montana rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $363.08 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $524.81 / $616.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $524.81 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $263.03 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $257.04 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $602.56