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Montana rates for HCPCS 33988

Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.95 / $3,947.94 / $3,947.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.26 / $1,187.26 / $1,187.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.85 / $1,187.26 / $1,187.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.26 / $1,187.26 / $1,187.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.96 / $1,042.63 / $1,592.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.68 / $1,353.60 / $2,090.48