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Montana rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $467.74 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $380.19 / $691.83