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Montana rates for HCPCS 33031

Pericardiectomy, subtotal or complete; with cardiopulmonary bypass

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.20 / $3,825.20 / $3,825.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.65 / $2,729.24 / $3,825.20