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Montana rates for HCPCS 33916

Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $6,456.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $7,079.46 / $7,762.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $7,079.46 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,897.79 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,819.70 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $7,079.46 / $11,220.18