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Montana rates for HCPCS 43249

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,041.74 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $316.23 / $2,137.96
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
$239.88 / $794.33 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $446.68 / $2,238.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $323.59 / $1,905.46
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $309.03 / $2,041.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $380.19 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $1,949.84