go back

Montana rates for HCPCS 35634

Bypass graft, with other than vein; iliorenal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,691.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,311.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,884.03 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,659.59 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $4,786.30