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Montana rates for HCPCS 36833

Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,534.06 / $5,534.06 / $5,534.06
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
$1,246.67 / $1,246.67 / $1,246.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.80 / $1,246.67 / $1,269.43