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Montana rates for HCPCS 35331

Teaec W/Wo Patch Graft Abdominal Aorta

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.32 / $7,367.81 / $7,367.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.91 / $2,239.91 / $2,239.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.58 / $2,239.91 / $2,239.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.91 / $2,788.50 / $2,890.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.85 / $1,949.15 / $2,977.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.90 / $2,533.80 / $3,946.05