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Montana rates for HCPCS 33617

Rpr Complex Cardiac Anomaly Modified Fontan Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.79 / $2,407.96 / $11,022.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,354.08 / $3,354.08 / $3,354.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.03 / $3,354.08 / $3,354.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,354.08 / $3,956.55 / $4,107.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.92 / $2,908.37 / $4,442.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.37 / $3,895.67 / $8,632.79