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Montana rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.57 / $1,886.57 / $1,886.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.57 / $2,334.80 / $2,433.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.25 / $1,487.25 / $1,487.25