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Montana rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.64 / $6,623.10 / $6,623.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.86 / $2,024.86 / $2,024.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.93 / $2,024.86 / $2,024.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.86 / $2,577.90 / $2,798.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.80 / $1,764.91 / $2,695.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.29 / $2,417.31 / $3,547.36