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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
$2,906.43 / $13,290.00 / $13,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,016.06 / $4,016.06 / $4,016.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,969.98 / $4,016.06 / $4,016.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,016.06 / $4,897.75 / $5,064.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.04 / $3,509.20 / $5,359.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,842.85 / $4,691.55 / $7,056.80