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Montana rates for HCPCS 35879

Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.13 / $1,419.13 / $1,419.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.13 / $1,768.65 / $1,835.52