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Montana rates for HCPCS 33746

Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when performed, left and right heart diagnostic cardiac catheterization for congenital cardiac anomalies, and target zone angioplasty, when performed (eg, atrial septum, Fontan fenestration, right ventricular outflow tract, Mustard/Senning/Warden baffles); each additional intracardiac shunt location (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.14 / $479.14 / $479.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.40 / $660.40 / $660.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.04 / $660.40 / $682.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.40 / $660.40 / $660.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.26 / $585.67 / $883.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.91 / $744.60 / $1,158.09