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Montana rates for HCPCS 68745

Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.79 / $4,157.64 / $4,157.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.11 / $1,276.11 / $1,276.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.41 / $768.78 / $1,276.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.40 / $980.00 / $1,436.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.41 / $1,092.58 / $1,516.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.56 / $1,288.18 / $1,488.07