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Montana rates for HCPCS 43248

Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,949.84 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $346.74 / $1,230.27
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
$257.04 / $588.84 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $398.11 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $346.74 / $741.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $346.74 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $331.13 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $407.38 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $724.44