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Montana rates for HCPCS 33775

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $6,165.95
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
$2,137.96 / $2,137.96 / $2,884.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,162.28 / $3,467.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,162.28 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $3,162.28
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
$2,511.89 / $3,162.28 / $5,011.87