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Montana rates for HCPCS 35131

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.44 / $2,128.44 / $2,128.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.44 / $2,651.35 / $2,747.58