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Montana rates for HCPCS 68500

Excision Lacrimal Gland Xcpt Tumor Total

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.92 / $5,370.08 / $5,370.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.16 / $1,664.16 / $1,664.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.39 / $987.92 / $1,664.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.04 / $1,145.70 / $1,664.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.75 / $1,426.69 / $1,978.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.33 / $1,490.00 / $7,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.08 / $1,663.44 / $2,007.60