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Montana rates for HCPCS 33404

Construction Apical-Aortic Conduit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.96 / $8,921.77 / $8,921.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.93 / $2,698.93 / $2,698.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.58 / $2,698.93 / $2,698.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.93 / $3,264.30 / $3,375.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.50 / $2,353.83 / $3,595.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.21 / $3,037.21 / $4,736.91