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Montana rates for HCPCS 61705

Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.92 / $13,008.90 / $13,008.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,155.92 / $4,155.92 / $4,155.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.40 / $4,155.92 / $4,511.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.20 / $4,407.64 / $4,726.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.36 / $3,749.43 / $5,408.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,538.62 / $4,442.12 / $7,253.83