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Montana rates for HCPCS 33522

Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.69 / $1,124.69 / $1,124.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.69 / $1,378.65 / $1,421.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.13 / $888.13 / $888.13