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Montana rates for HCPCS G0118

Glaucoma Screening For High Risk Patient Furnished Under The Direct Supervision Of An Optometrist Or Ophthalomologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $56.69 / $56.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $64.37 / $66.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $30.07 / $41.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $56.83 / $66.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $70.11 / $86.10