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Montana rates for HCPCS 33779

Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.37 / $11,827.30 / $11,827.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.06 / $3,588.06 / $3,588.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,553.28 / $3,588.06 / $3,588.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.06 / $4,028.70 / $4,177.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.39 / $3,120.11 / $4,765.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,168.26 / $3,977.19 / $6,293.70