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Montana rates for HCPCS 61703

Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.16 / $6,819.66 / $6,819.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.75 / $2,185.75 / $2,185.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.50 / $2,185.75 / $2,348.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.26 / $2,302.94 / $2,474.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.53 / $1,964.49 / $2,833.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.92 / $2,302.94 / $3,807.30