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Montana rates for HCPCS 33330

Insj Graft Aorta/Great Vessel W/O Shunt/Bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.90 / $7,271.30 / $7,271.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $2,201.00 / $2,201.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.11 / $2,201.00 / $2,201.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $2,648.75 / $2,727.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.17 / $1,918.44 / $2,930.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.25 / $2,472.60 / $3,862.80