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Montana rates for HCPCS 33647

Repair of atrial septal defect and ventricular septal defect, with direct or patch closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.16 / $1,798.65 / $9,253.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.98 / $2,811.98 / $2,811.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.92 / $2,811.98 / $2,811.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.98 / $3,250.42 / $3,281.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.96 / $2,440.91 / $3,728.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.48 / $3,157.19 / $4,928.39