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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
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,318.26 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,412.54