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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
$1,096.48 / $1,445.44 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,698.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,089.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,047.13 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $2,951.21