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Montana rates for HCPCS 35683

Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $630.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $758.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $758.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $660.69 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $389.05 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $1,096.48