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Montana rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.39 / $1,007.65 / $5,297.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $1,610.00 / $1,610.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.20 / $1,610.00 / $2,818.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.64 / $1,335.53 / $1,890.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.54 / $1,621.37 / $2,701.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.03 / $1,687.80 / $2,822.17