go back

Montana rates for HCPCS J7351

Injection, bimatoprost, intracameral implant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.96 / $215.97 / $256.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.62 / $239.62 / $239.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $239.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.62 / $239.62 / $239.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $232.00 / $302.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $213.84