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Montana rates for HCPCS 33974

Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.48 / $4,555.16 / $4,555.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.38 / $1,383.38 / $1,383.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.43 / $1,383.38 / $1,383.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.38 / $1,683.50 / $1,727.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.89 / $1,201.20 / $1,834.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.90 / $1,542.00 / $2,424.41