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Montana rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.13 / $3,771.83 / $19,423.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,904.21 / $5,904.21 / $5,904.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.91 / $5,889.88 / $10,942.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.76 / $4,734.93 / $7,311.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,777.12 / $6,029.33 / $10,047.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,195.35 / $6,411.31 / $8,288.65