go back

Montana rates for HCPCS 61686

Surgery of intracranial arteriovenous malformation; infratentorial, complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,580.97 / $22,831.80 / $22,831.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,144.57 / $7,144.57 / $7,144.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.72 / $7,144.57 / $7,809.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,513.84 / $7,753.20 / $8,264.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,299.96 / $6,450.61 / $9,304.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,305.97 / $7,916.03 / $12,480.08