go back

Montana rates for HCPCS 35647

Bypass graft, with other than vein; aortofemoral

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.55 / $2,385.55 / $2,385.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.55 / $2,968.55 / $3,084.07