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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
$5,495.41 / $5,495.41 / $5,495.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,165.95 / $6,760.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,888.44 / $6,760.83