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Montana rates for HCPCS 33369

Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.83 / $4,979.14 / $4,979.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.43 / $1,496.43 / $1,496.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.60 / $1,496.43 / $1,496.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.43 / $1,496.43 / $1,496.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.80 / $1,314.40 / $2,007.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.44 / $1,708.20 / $2,635.33