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Montana rates for HCPCS 35188

Repair, acquired or traumatic arteriovenous fistula; head and neck

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.51 / $6,424.80 / $6,424.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.92 / $2,056.92 / $2,056.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.85 / $2,056.92 / $2,056.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.12 / $1,608.10 / $2,056.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.92 / $1,746.12 / $2,667.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.43 / $1,596.43 / $10,811.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.37 / $2,144.83 / $3,583.44