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Montana rates for HCPCS 33612

Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction

Facilitymedian $3,467 · 10th–90th $3,311–$3,8020%50%10th90th$3,467Professionalmedian $3,020 · 10th–90th $2,239–$6,7610%20%10th90th$3,020$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $3,090.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,467.37 / $3,801.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,467.37 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $3,801.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,905.46 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,388.44 / $7,943.28