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Montana rates for HCPCS 35612

Byp Oth/Thn Vein Subclavian-Subclavian

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.22 / $5,270.88 / $5,270.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.15 / $1,613.15 / $1,613.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.95 / $1,613.15 / $1,613.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.15 / $1,738.75 / $1,781.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.88 / $1,403.77 / $2,144.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.09 / $1,787.69 / $2,823.10