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Montana rates for HCPCS 36901

Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.21 / $527.48 / $879.22
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
$257.64 / $257.64 / $257.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.64 / $257.64 / $257.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $486.65 / $1,093.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.63 / $257.64 / $816.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.03 / $704.26 / $1,569.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.54 / $1,067.86 / $1,424.10