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Montana rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $85.25 / $100.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $84.79 / $100.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.44 / $88.74 / $104.52