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Montana rates for HCPCS 68801

Dilation of lacrimal punctum, with or without irrigation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $199.53
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $169.82 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $165.96 / $204.17
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $204.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $123.03 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $186.21