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Montana rates for HCPCS 43135

Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.51 / $1,454.75 / $7,511.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.23 / $2,287.23 / $2,287.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.42 / $2,287.23 / $4,244.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.26 / $1,904.80 / $2,789.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.21 / $2,333.12 / $3,887.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.67 / $2,496.69 / $3,075.56