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Montana rates for HCPCS 33264

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $691.83