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Montana rates for HCPCS 35601

Bypass graft, with other than vein; common carotid-ipsilateral internal carotid

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $2,630.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $2,754.23