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Montana rates for HCPCS 33877

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,554.03 / $5,554.03 / $5,554.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,554.03 / $6,696.30 / $6,939.16