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Montana rates for HCPCS 35515

Bypass graft, with vein; subclavian-vertebral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $2,041.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,570.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $2,570.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,258.93 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $3,548.13