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Montana rates for HCPCS 43450

Dilation of esophagus, by unguided sound or bougie, single or multiple passes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.70 / $1,683.90 / $3,337.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $141.90 / $417.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $124.61 / $295.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.61 / $124.61 / $124.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.12 / $196.14 / $395.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.70 / $156.65 / $292.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.15 / $221.03 / $474.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.89 / $282.47 / $399.35