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Montana rates for HCPCS 61613

Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,248.07 / $5,623.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,754.40 / $6,309.57
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,754.40 / $6,309.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,786.30 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,311.31 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $8,128.31