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Montana rates for HCPCS 35002

Dir Rpr Ruptd Aneurysm Carotid-Subclavian Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.27 / $5,736.76 / $5,736.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.65 / $1,755.65 / $1,755.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.46 / $1,755.65 / $1,755.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.65 / $2,274.46 / $2,278.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.86 / $1,528.43 / $2,334.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.01 / $1,980.01 / $3,072.84