go back

Montana rates for HCPCS 35650

Byp Oth/Thn Vein Axillary-Axillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.84 / $5,153.06 / $5,153.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.25 / $1,574.25 / $1,574.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.38 / $1,574.25 / $1,574.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.25 / $2,029.30 / $2,112.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.56 / $1,372.15 / $2,095.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.84 / $1,780.20 / $2,757.43