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Montana rates for HCPCS 43400

Ligation, direct, esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $4,466.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,884.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $3,715.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,398.83 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $3,090.30