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Montana rates for HCPCS 33803

Division Aberrant Vessel W/Reanastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.67 / $5,878.84 / $5,878.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.25 / $1,788.25 / $1,788.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.50 / $1,788.25 / $1,788.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.25 / $2,101.44 / $2,188.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.69 / $1,552.26 / $2,370.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.83 / $2,066.46 / $4,786.31