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Montana rates for HCPCS 61686

Surgery of intracranial arteriovenous malformation; infratentorial, complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,754.40 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,079.46 / $7,762.47
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,762.47 / $8,709.64
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,762.47 / $8,709.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,606.93 / $7,762.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,677.35 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,762.47 / $11,481.54