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Montana rates for HCPCS 35142

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $2,511.89