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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
$2,294.48 / $10,489.50 / $10,489.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,181.62 / $3,181.62 / $3,181.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.10 / $3,181.62 / $3,181.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,181.62 / $3,818.10 / $3,957.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.97 / $2,766.76 / $4,225.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,995.74 / $3,588.01 / $5,582.36