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Montana rates for HCPCS 35189

Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,344.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $2,884.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $3,019.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,445.44 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,630.27 / $4,073.80