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Montana rates for HCPCS 33969

Ecmo/Ecls Rmvl Of Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.07 / $1,385.59 / $1,385.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.96 / $416.96 / $416.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.08 / $416.96 / $416.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.96 / $416.96 / $416.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $374.08 / $557.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.32 / $474.60 / $734.44