go back

Montana rates for HCPCS 33983

Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.96 / $11,725.50 / $11,725.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,509.72 / $3,509.72 / $3,509.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,509.72 / $3,509.72 / $3,509.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,509.72 / $3,509.72 / $3,509.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.19 / $3,094.90 / $4,727.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.61 / $4,157.10 / $6,630.95