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Montana rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.92 / $1,838.86 / $4,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.87 / $263.79 / $2,332.80
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
$238.71 / $801.00 / $1,684.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.71 / $238.71 / $238.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $451.06 / $1,933.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.93 / $304.82 / $1,189.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.84 / $1,103.46 / $2,750.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.32 / $1,707.74 / $2,142.44