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Montana rates for HCPCS 33895

Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,202.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,318.26 / $1,412.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,318.26 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $741.31 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,089.30