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Montana rates for HCPCS 33864

Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,949.88 / $4,949.88 / $4,949.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,949.88 / $6,012.50 / $6,203.56