go back

Montana rates for HCPCS 43245

Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.49 / $1,768.13 / $4,501.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.52 / $269.35 / $964.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.89 / $272.89 / $931.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.89 / $272.89 / $272.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.55 / $514.34 / $1,082.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.16 / $334.54 / $668.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.60 / $598.48 / $1,506.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.75 / $923.44 / $1,158.50