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Montana rates for HCPCS 33502

Rpr Anom Coronary Art Pulm Art Origin Ligation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.99 / $1,913.51 / $6,526.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.78 / $1,992.78 / $1,992.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.61 / $1,992.78 / $1,992.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.78 / $2,345.19 / $2,439.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.39 / $1,721.83 / $2,629.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.69 / $1,567.69 / $1,567.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.07 / $2,214.01 / $3,483.54