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Montana rates for HCPCS 35626

Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.55 / $2,446.55 / $2,446.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.55 / $2,964.00 / $3,069.52