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Montana rates for HCPCS 33503

Rpr Anom Coronary Artery Pulm Art Origin Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.73 / $6,785.05 / $6,785.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.65 / $2,071.65 / $2,071.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.95 / $2,071.65 / $2,071.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.65 / $2,486.25 / $2,553.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.30 / $1,788.29 / $2,731.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.75 / $2,299.79 / $3,621.36