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Montana rates for HCPCS 35695

Trpos&/Rimpltj Carotid Subclavian Art

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.13 / $5,174.12 / $5,174.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.61 / $1,581.61 / $1,581.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.60 / $1,581.61 / $1,581.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.61 / $2,013.70 / $2,066.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.76 / $1,378.11 / $2,104.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.05 / $1,803.80 / $2,770.37