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Montana rates for HCPCS 35571

Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $2,570.40