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Montana rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.38 / $2,915.42 / $7,691.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,889.41 / $4,889.41 / $4,889.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.26 / $4,727.00 / $8,749.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,864.23 / $3,907.49 / $5,357.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,051.46 / $4,997.84 / $8,304.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.20 / $5,032.10 / $6,156.16