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Montana rates for HCPCS 33762

Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,995.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,187.76 / $2,454.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,187.76 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,230.27 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $3,467.37