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Montana rates for HCPCS 77333

Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

Facilitymedian $62 · 10th–90th $62$760%20%40%90th$62Professionalmedian $79 · 10th–90th $32$2340%10%10th90th$79$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $141.25 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $40.74 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $102.33 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $50.12 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $57.54 / $302.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $239.88 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $75.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $263.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $56.23 / $83.18
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $154.88 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $102.33 / $138.04