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Montana rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.46 / $16,598.80 / $16,598.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,236.97 / $5,236.97 / $5,236.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,331.38 / $5,236.97 / $5,674.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,567.09 / $5,520.45 / $5,947.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.45 / $4,765.16 / $6,873.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,482.38 / $5,531.46 / $9,176.91