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Montana rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.17 / $7,967.40 / $7,967.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.73 / $2,409.73 / $2,409.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.91 / $2,409.73 / $2,409.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.73 / $2,916.55 / $3,027.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.57 / $2,101.76 / $3,210.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.37 / $2,712.00 / $4,231.87