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Montana rates for HCPCS 35276

Rpr Blood Vsl Grf Oth/Thn Vein Intrathrc W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.35 / $7,438.33 / $7,438.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.10 / $2,254.10 / $2,254.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.58 / $2,254.10 / $2,254.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.10 / $2,669.55 / $2,779.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.17 / $1,965.19 / $3,001.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.57 / $2,529.01 / $3,956.23