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Montana rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.35 / $2,665.79 / $13,949.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.25 / $4,570.25 / $4,570.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.71 / $4,380.13 / $7,575.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.34 / $3,558.23 / $5,192.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.37 / $4,656.53 / $7,705.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,819.39 / $4,669.26 / $6,215.88