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Montana rates for HCPCS 35686

Crtj Dstl Arven Fstl Lxtr Byp Surg Non-Hemo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $809.00 / $809.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.07 / $246.07 / $246.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.44 / $246.07 / $246.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.07 / $318.50 / $327.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $216.32 / $330.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.36 / $280.80 / $431.97