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Montana rates for HCPCS 68815

Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,125.80 / $2,125.80 / $2,125.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.86 / $355.39 / $1,173.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.04 / $114.04 / $862.00
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
$348.08 / $348.08 / $589.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.08 / $348.08 / $348.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.43 / $393.48 / $737.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.06 / $348.08 / $840.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.02 / $393.26 / $604.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.08 / $640.32 / $739.87