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Montana rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.69 / $263.35 / $279.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $174.89 / $239.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $279.58 / $303.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $119.47 / $171.39