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Montana rates for HCPCS 35522

Bypass W/Vein Axillary-Brachial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.83 / $6,171.61 / $6,171.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.39 / $1,801.39 / $1,801.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.24 / $1,801.39 / $1,801.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.39 / $2,332.85 / $2,416.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.63 / $1,570.59 / $2,398.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.39 / $2,087.42 / $3,154.24