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Montana rates for HCPCS 35190

Repair, acquired or traumatic arteriovenous fistula; extremities

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.01 / $1,172.01 / $1,172.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.01 / $1,404.65 / $1,466.14