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Montana rates for HCPCS 33688

Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,884.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,630.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $3,467.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,778.28 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $5,128.61