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Montana rates for HCPCS G0268

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $46.32 / $56.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.05 / $52.05 / $82.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.05 / $82.55 / $85.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.64 / $86.45 / $94.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $53.98 / $85.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $84.37 / $117.26