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Montana rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.73 / $8,183.93 / $8,183.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,499.65 / $2,499.65 / $2,499.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.24 / $2,499.65 / $2,499.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,499.65 / $3,269.50 / $3,392.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.57 / $2,179.67 / $3,329.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.89 / $2,925.79 / $4,377.09