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Montana rates for HCPCS 36474

Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $288.40 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $389.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $186.21 / $457.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $151.36 / $436.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $331.13 / $524.81