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Montana rates for HCPCS 43123

Prtl Esphg Thoracoabdl/Abdl Appr Ntrpstj/Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,942.03 / $4,631.53 / $22,996.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,972.63 / $6,972.63 / $6,972.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,838.16 / $6,972.63 / $12,908.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,577.31 / $5,555.59 / $8,512.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,606.47 / $7,129.84 / $11,880.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,164.97 / $7,739.03 / $10,257.15