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Montana rates for HCPCS 34051

Emblc/Thrmbc Innominate Subclavian Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.93 / $5,073.42 / $5,073.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.59 / $1,540.59 / $1,848.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.59 / $1,540.59 / $1,540.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.68 / $1,540.59 / $1,540.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.59 / $1,813.50 / $1,892.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.24 / $1,340.53 / $2,047.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.89 / $1,719.60 / $2,701.93