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Montana rates for HCPCS 35654

Bypass graft, with other than vein; axillary-femoral-femoral

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,344.23 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $2,630.27