go back

Montana rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $234.42 / $295.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $295.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $245.47 / $323.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $169.82