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Montana rates for HCPCS 36465

Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.37 / $1,490.61 / $1,901.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $183.50 / $2,009.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $183.50 / $2,009.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.27 / $1,250.90 / $2,483.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.41 / $2,577.00 / $3,652.83