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Montana rates for HCPCS 35304

Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.86 / $1,963.86 / $1,963.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.86 / $2,426.44 / $2,519.25