go back

Montana rates for HCPCS 43328

Esopg/Gstr Fundoplasty W/Thoracotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.75 / $1,115.13 / $5,749.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.23 / $1,747.23 / $1,747.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.73 / $1,747.23 / $3,243.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.02 / $1,613.81 / $2,223.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.20 / $1,785.83 / $2,975.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.44 / $1,374.44 / $1,374.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.00 / $1,923.40 / $2,444.46