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Montana rates for HCPCS 35516

Bypass graft, with vein; subclavian-axillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.72 / $6,149.45 / $6,149.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.21 / $1,879.21 / $1,879.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.34 / $1,879.21 / $1,879.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.21 / $2,353.65 / $2,424.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.86 / $1,637.51 / $2,501.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.36 / $2,125.79 / $3,290.23