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Montana rates for HCPCS 35189

Rpr/Traumatic Av Fistula Thorax & Abdomen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.18 / $7,607.95 / $7,607.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.61 / $2,325.61 / $2,325.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.46 / $2,325.61 / $2,325.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.61 / $3,032.25 / $3,245.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.55 / $2,025.23 / $3,093.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.19 / $2,718.71 / $4,070.00