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Montana rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.64 / $3,049.64 / $3,049.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.64 / $3,602.95 / $3,641.30