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Montana rates for HCPCS 43196

Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $407.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $269.15 / $501.19