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Montana rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.55 / $243.28 / $1,188.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $359.12 / $359.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.01 / $359.12 / $359.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $359.12 / $359.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.60 / $322.01 / $479.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.13 / $407.40 / $628.99