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Montana rates for HCPCS 35111

Dir Rpr Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.83 / $6,697.50 / $6,697.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.47 / $2,047.47 / $2,047.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.03 / $2,047.47 / $2,047.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.47 / $2,645.50 / $2,800.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.39 / $1,784.16 / $2,725.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.69 / $2,392.59 / $3,587.16