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Montana rates for HCPCS 61690

Surgery of intracranial arteriovenous malformation; dural, simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.92 / $10,920.20 / $10,920.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,492.89 / $3,492.89 / $3,492.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.15 / $3,492.89 / $3,784.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.70 / $3,715.40 / $3,983.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.98 / $3,142.80 / $4,533.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,962.87 / $3,658.23 / $6,085.57