go back

Montana rates for HCPCS 43620

Gastrectomy, total; with esophagoenterostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.29 / $1,935.89 / $10,202.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,119.57 / $3,119.57 / $3,119.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.13 / $3,109.95 / $5,592.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.33 / $2,590.50 / $3,569.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.81 / $3,189.37 / $5,314.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.83 / $3,335.04 / $4,178.46