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Montana rates for HCPCS 35616

Bypass graft, with other than vein; subclavian-axillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.44 / $1,233.21 / $5,557.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.28 / $1,697.28 / $1,697.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.64 / $1,697.28 / $1,697.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.28 / $2,184.65 / $2,315.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.29 / $1,478.02 / $2,257.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.04 / $1,921.20 / $2,972.03