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Montana rates for HCPCS 43325

Esopg/Gstr Fundoplasty W/Fundic Patch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.98 / $1,327.83 / $7,002.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.16 / $2,143.16 / $2,143.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.76 / $2,143.16 / $3,814.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.11 / $1,772.43 / $2,430.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.91 / $2,188.61 / $3,647.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.13 / $2,218.71 / $2,773.40