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Montana rates for HCPCS 33953

Ecmo/Ecls Insj Of Prph Cannula Birth-5 Yrs Open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.47 / $2,402.80 / $2,402.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.98 / $722.98 / $722.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.15 / $722.98 / $722.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.98 / $722.98 / $722.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.02 / $636.12 / $971.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.44 / $809.48 / $1,273.73