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Montana rates for HCPCS 35694

Trpos&/Rimpltj Subclavian Carotid Art

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.49 / $4,986.27 / $4,986.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.29 / $1,524.29 / $1,524.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.56 / $1,524.29 / $1,524.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.29 / $1,932.45 / $2,018.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.50 / $1,328.15 / $2,028.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.36 / $1,720.80 / $2,668.63