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Montana rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,036.14 / $13,948.10 / $13,948.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,234.79 / $4,234.79 / $4,234.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,234.79 / $4,234.79 / $4,234.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.03 / $4,234.79 / $4,234.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,652.35 / $3,822.83 / $4,234.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.35 / $3,660.90 / $5,591.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,596.16 / $4,691.08 / $7,419.41