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Montana rates for HCPCS 43210

Egd Partial/Compl Esophagogastric Fundoplasty

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.82 / $668.82 / $668.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.74 / $431.15 / $863.50