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Montana rates for HCPCS 33975

Insertion of ventricular assist device; extracorporeal, single ventricle

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,238.72