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Montana rates for HCPCS 37184

Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,862.09 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $3,235.94
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,884.03 / $3,981.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,884.03 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,089.30 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $660.69 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,819.70 / $4,073.80