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Montana rates for HCPCS 33514

Coronary artery bypass, vein only; 5 coronary venous grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,467.37 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,981.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $4,897.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,454.71 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $7,079.46