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Montana rates for HCPCS 35638

Bypass graft, with other than vein; aortobi-iliac

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,668.44 / $2,668.44 / $2,668.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,668.44 / $3,331.90 / $3,463.57