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Montana rates for HCPCS 43360

Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,013.57 / $2,315.69 / $11,489.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.25 / $3,500.25 / $3,500.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.58 / $3,489.04 / $6,494.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.52 / $2,964.97 / $4,263.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.26 / $3,567.89 / $5,945.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,064.86 / $3,847.39 / $4,706.80