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Montana rates for HCPCS 33414

Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.67 / $10,936.50 / $10,936.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.58 / $3,323.58 / $3,323.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.58 / $3,323.58 / $3,323.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,439.46 / $3,323.58 / $3,323.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.58 / $4,031.30 / $4,168.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.43 / $2,885.00 / $4,406.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,163.02 / $3,734.41 / $5,822.87