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Montana rates for HCPCS 35509

Bypass graft, with vein; carotid-contralateral carotid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.94 / $7,123.84 / $7,123.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.08 / $2,172.08 / $2,172.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.91 / $2,172.08 / $2,172.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.08 / $2,843.10 / $2,936.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.67 / $1,895.07 / $2,894.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.12 / $2,463.60 / $3,805.45