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Montana rates for HCPCS 33523

Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.01 / $4,225.03 / $4,225.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.59 / $1,265.59 / $1,265.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.23 / $1,265.59 / $1,265.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.59 / $1,565.85 / $1,614.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.13 / $1,112.29 / $1,698.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.58 / $1,449.59 / $2,230.17