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Montana rates for HCPCS 35011

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.57 / $1,560.57 / $1,560.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.57 / $1,881.75 / $1,956.96