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Montana rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $63.92 / $294.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.45 / $80.45 / $80.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $80.45 / $137.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.88 / $92.98 / $118.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $94.36 / $140.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $104.40 / $115.20