go back

Montana rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.07 / $7,486.78 / $7,486.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.02 / $2,283.02 / $2,283.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.47 / $2,283.02 / $2,283.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.02 / $2,687.10 / $2,795.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.29 / $1,975.27 / $3,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.35 / $2,542.81 / $3,993.22