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Montana rates for HCPCS G0118

Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist

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