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Montana rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.31 / $7,025.34 / $7,025.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,121.08 / $2,121.08 / $2,121.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.21 / $2,121.08 / $2,121.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,121.08 / $2,511.60 / $2,604.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.88 / $1,854.28 / $2,832.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.89 / $2,392.80 / $3,728.66