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Montana rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.38 / $1,768.71 / $9,954.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,021.25 / $3,021.25 / $3,021.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.96 / $3,021.25 / $3,021.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,008.85 / $3,021.25 / $3,125.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.98 / $2,626.52 / $4,011.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.42 / $3,344.71 / $5,297.47