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Montana rates for HCPCS L8610

Ocular Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.00 / $305.00 / $424.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.93 / $421.93 / $2,026.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.54 / $983.52 / $983.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.54 / $983.52 / $983.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.67 / $936.69 / $983.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.54 / $738.18 / $984.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.77 / $350.48 / $555.86