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Montana rates for HCPCS 35112

Dir Rpr Ruptd Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.22 / $8,236.71 / $8,236.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.94 / $2,515.94 / $2,515.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.29 / $2,515.94 / $2,515.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.94 / $3,250.65 / $3,436.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.62 / $2,192.51 / $3,348.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.48 / $2,871.01 / $4,407.63