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Montana rates for HCPCS 35306

Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.80 / $2,238.31 / $2,238.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.96 / $681.96 / $681.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.08 / $681.96 / $681.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.96 / $866.45 / $929.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.52 / $597.16 / $912.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.12 / $777.60 / $1,199.73