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Montana rates for HCPCS 68770

Closure of lacrimal fistula (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.58 / $3,318.37 / $3,318.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.51 / $978.51 / $978.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.34 / $633.97 / $1,036.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.62 / $680.97 / $1,120.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.65 / $830.90 / $1,159.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.42 / $1,030.08 / $1,189.92