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Montana rates for HCPCS 35515

Bypass W/Vein Subclavian-Vertebral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.88 / $6,693.67 / $6,693.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.99 / $2,047.99 / $2,047.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.23 / $2,047.99 / $2,047.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.99 / $2,585.69 / $2,638.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.44 / $1,781.41 / $2,720.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.56 / $2,311.80 / $3,584.37