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Montana rates for HCPCS 69990

Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $323.59 / $380.19