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Montana rates for HCPCS 43405

Lig/Stapling G-Esop Junct Pre-Esophgl Prf8j

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.71 / $1,489.47 / $7,454.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.82 / $2,278.82 / $2,278.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.35 / $2,275.16 / $4,174.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.68 / $1,887.70 / $2,778.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.80 / $2,318.02 / $3,862.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.22 / $2,484.48 / $2,947.70