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Montana rates for HCPCS 33777

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction

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
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,951.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,548.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,778.28 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $5,128.61