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Montana rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.49 / $6,418.97 / $6,418.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.61 / $1,958.61 / $1,958.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.48 / $1,958.61 / $1,958.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.61 / $2,342.60 / $2,449.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.21 / $1,698.92 / $2,594.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.04 / $2,199.59 / $3,437.30