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Montana rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.25 / $1,462.25 / $1,462.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.25 / $1,828.45 / $1,898.77