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Montana rates for HCPCS 61702

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,128.61 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $6,456.54 / $6,918.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $7,079.46 / $7,762.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $7,079.46 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,888.44 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,918.31 / $10,000.00