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Montana rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,574.39 / $3,574.39 / $3,574.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.09 / $2,957.94 / $4,099.87