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Montana rates for HCPCS 43201

Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance

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
$162.18 / $162.18 / $162.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $371.54 / $524.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $281.84 / $562.34