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Montana rates for HCPCS 34847

Viscer And Infrarenal Abdom Aorta 3 Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.73 / $2,312.73 / $2,312.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,481.32 / $3,481.32 / $3,481.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,481.32 / $3,481.32 / $3,481.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,481.32 / $3,481.32 / $3,481.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.62 / $2,696.18 / $4,118.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.06 / $2,852.16 / $4,752.74