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Montana rates for HCPCS 33505

Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,754.23 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,162.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,548.13 / $3,890.45
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,548.13 / $3,890.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $3,801.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,949.84 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $5,623.41