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Montana rates for HCPCS 43257

Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.33 / $363.33 / $363.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.86 / $411.04 / $598.98