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Montana rates for HCPCS 35540

Bypass graft, with vein; aortobifemoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,715.35
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $4,677.35
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,981.07 / $4,786.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,290.87 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,265.80 / $6,606.93