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Montana rates for HCPCS 33677

Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,338.06 / $10,701.40 / $10,701.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.50 / $3,250.50 / $3,250.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.32 / $3,250.50 / $3,250.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.50 / $3,583.75 / $3,634.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.79 / $2,821.75 / $4,309.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.30 / $3,593.11 / $5,696.13