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Montana rates for HCPCS 35361

Teaec W/Wo Patch Graft Combined Aortoiliac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.91 / $7,673.18 / $7,673.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.07 / $2,345.07 / $2,345.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.87 / $2,345.07 / $2,345.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.07 / $2,993.25 / $3,068.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.84 / $2,042.64 / $3,119.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.96 / $2,653.80 / $4,106.06