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Montana rates for HCPCS 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $5,370.32
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,025.60 / $6,606.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,025.60 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,754.40 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,025.60 / $9,332.54