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Montana rates for HCPCS 33955

Ecmo/Ecls Insj Of Central Cannula Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.37 / $923.02 / $4,210.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.13 / $1,266.13 / $1,266.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.28 / $1,266.13 / $1,266.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.13 / $1,266.13 / $1,266.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.49 / $1,141.28 / $1,697.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.65 / $1,444.21 / $2,228.31