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Montana rates for HCPCS 33814

Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.89 / $7,780.00 / $7,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,372.41 / $2,372.41 / $2,372.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.04 / $2,372.41 / $2,372.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,372.41 / $2,814.50 / $2,920.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.63 / $2,052.27 / $3,134.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.31 / $2,643.61 / $4,150.47