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Montana rates for HCPCS 35152

Dir Rpr Ruptd Aneurysm & Grf Popliteal Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.11 / $7,045.21 / $7,045.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.63 / $2,152.63 / $2,152.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.94 / $2,152.63 / $2,152.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.63 / $2,755.35 / $2,822.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.09 / $1,875.82 / $2,865.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.69 / $2,435.41 / $3,771.22