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Montana rates for HCPCS 35634

Bypass Graft W/Other Than Vein Iliorenal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.13 / $8,911.95 / $8,911.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.02 / $2,721.02 / $2,721.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.54 / $2,721.02 / $2,721.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.02 / $3,267.55 / $3,294.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.76 / $2,372.62 / $3,623.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.77 / $3,084.01 / $4,765.60