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Montana rates for HCPCS 37241

Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,598.36 / $89,598.36 / $89,598.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.70 / $2,269.83 / $7,423.14
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
$653.57 / $653.57 / $7,133.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.57 / $653.57 / $653.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.35 / $653.57 / $7,133.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.57 / $653.57 / $653.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.48 / $4,443.18 / $8,855.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,597.36 / $8,279.03 / $13,026.74