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Montana rates for HCPCS 35512

Bypass graft, with vein; subclavian-brachial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.69 / $6,078.89 / $6,078.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.13 / $1,857.13 / $1,857.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.28 / $1,857.13 / $1,857.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.13 / $2,371.85 / $2,432.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.63 / $1,617.34 / $2,470.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.05 / $2,101.21 / $3,249.53