go back

Montana rates for HCPCS 99190

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.30 / $487.30 / $487.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.91 / $680.91 / $809.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.91 / $680.91 / $680.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.91 / $809.38 / $977.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.70 / $623.61 / $951.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.40 / $732.00 / $884.00