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Montana rates for HCPCS 36831

Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $953.80 / $953.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.35 / $884.24 / $953.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.09 / $751.09 / $10,811.40