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Montana rates for HCPCS 33781

Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.69 / $11,759.70 / $11,759.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,566.50 / $3,566.50 / $3,566.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.53 / $3,566.50 / $3,566.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,566.50 / $3,989.05 / $4,140.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.10 / $3,102.69 / $4,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.81 / $3,956.54 / $9,358.82