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Montana rates for HCPCS 43108

Tot Esophg W/O Thorcom Colon Ntrpstj/Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,916.90 / $4,599.60 / $22,696.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,874.84 / $6,874.84 / $6,874.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,828.00 / $6,874.84 / $12,719.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,622.82 / $5,527.30 / $8,436.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,543.88 / $7,038.18 / $11,728.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,089.77 / $7,566.38 / $9,352.26