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Montana rates for HCPCS 43239

Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,137.96 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $234.42 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $380.19 / $776.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $575.44 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $575.44 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $398.11 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $363.08 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $676.08