go back

Montana rates for HCPCS 35521

Bypass W/Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.45 / $6,188.70 / $6,188.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.88 / $1,892.88 / $1,892.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.73 / $1,892.88 / $1,892.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.88 / $2,406.94 / $2,616.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.95 / $1,648.96 / $2,518.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.24 / $2,137.19 / $3,314.27