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Montana rates for HCPCS 34520

Cross-Over Vein Graft Venous System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.56 / $4,994.68 / $4,994.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.40 / $1,526.40 / $1,526.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.63 / $1,526.40 / $1,526.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.40 / $1,944.80 / $1,996.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.15 / $1,329.07 / $2,030.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.92 / $1,722.60 / $2,675.10