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Montana rates for HCPCS 43244

Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,344.23 / $4,168.69
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
$380.19 / $380.19 / $380.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $426.58 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $398.11 / $645.65