go back

Montana rates for HCPCS 61708

Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.31 / $12,725.80 / $12,725.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,067.59 / $4,067.59 / $4,067.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.10 / $4,067.59 / $4,410.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.16 / $3,827.89 / $4,067.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.69 / $3,667.41 / $5,289.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,375.91 / $4,344.17 / $7,095.67