go back

Montana rates for HCPCS 33478

Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.88 / $1,750.44 / $8,029.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.60 / $2,447.60 / $2,447.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.13 / $2,447.60 / $2,447.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.60 / $2,905.50 / $3,015.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.89 / $2,117.80 / $3,234.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.69 / $2,729.41 / $4,284.60