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Montana rates for HCPCS 33617

Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure

Facilitymedian $3,715 · 10th–90th $3,631–$4,0740%50%10th90th$3,715Professionalmedian $3,090 · 10th–90th $2,042–$9,3330%10%10th90th$3,090$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
$2,041.74 / $2,884.03 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $3,388.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,715.35 / $4,073.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,715.35 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,715.35 / $4,073.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $2,041.74 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,715.35 / $8,709.64