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Montana rates for HCPCS 68761

Closure of the lacrimal punctum; by plug, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$541.66 / $541.66 / $541.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.78 / $132.00 / $285.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$58.32 / $233.79 / $543.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $183.50 / $229.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.75 / $155.31 / $242.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.04 / $118.41 / $183.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.52 / $174.08 / $242.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.41 / $241.85 / $294.01