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Montana rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.21 / $1,429.51 / $7,374.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,249.90 / $2,249.90 / $2,249.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.71 / $2,238.33 / $4,111.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.93 / $1,902.36 / $2,795.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.43 / $2,291.60 / $3,818.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.02 / $2,462.66 / $3,937.72