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Montana rates for HCPCS 43247

Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,318.26 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $724.44
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
$275.42 / $549.54 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $398.11 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $371.54 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $354.81 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $436.52 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $691.83