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Montana rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.13 / $8,036.52 / $8,036.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.48 / $2,455.48 / $2,455.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.20 / $2,455.48 / $2,455.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.48 / $3,136.90 / $3,394.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.07 / $2,140.71 / $3,269.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.16 / $2,779.80 / $4,302.16