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Montana rates for HCPCS 33548

Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.12 / $15,078.30 / $15,078.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,540.81 / $4,540.81 / $4,540.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,314.82 / $4,540.81 / $4,540.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,540.81 / $5,531.50 / $5,726.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.63 / $3,994.54 / $6,101.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,340.10 / $5,148.01 / $7,979.04