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Montana rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.55 / $1,490.56 / $7,858.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,406.59 / $2,406.59 / $2,406.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.19 / $2,406.07 / $4,339.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.61 / $1,987.72 / $2,748.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.55 / $2,457.13 / $4,094.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.96 / $2,555.51 / $4,214.29