go back

Montana rates for HCPCS 33611

Repair of double outlet right ventricle with intraventricular tunnel repair;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.59 / $9,934.04 / $9,934.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.09 / $3,018.09 / $3,018.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.65 / $3,018.09 / $3,018.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.09 / $3,636.10 / $3,763.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.45 / $2,620.10 / $4,001.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.94 / $3,390.60 / $5,289.14