go back

Montana rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $3,235.94