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Montana rates for HCPCS 68505

Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,659.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $2,041.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,000.00 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $1,995.26