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Montana rates for HCPCS 33140

Transmyocardial Laser Revascular Thoracotomy Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.82 / $7,946.29 / $7,946.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.75 / $2,399.75 / $2,399.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.13 / $2,399.75 / $2,399.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.75 / $2,921.75 / $3,036.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.37 / $2,095.81 / $3,201.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.39 / $1,895.39 / $1,895.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.44 / $2,708.39 / $4,217.08