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Montana rates for HCPCS 35184

Repair, congenital arteriovenous fistula; extremities

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.06 / $4,867.05 / $4,867.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.01 / $1,488.01 / $1,488.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.48 / $1,488.01 / $1,488.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.01 / $1,926.60 / $1,989.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.18 / $1,296.53 / $1,980.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.48 / $1,735.39 / $2,605.71