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Montana rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,202.12 / $3,202.12 / $3,202.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.38 / $2,431.80 / $3,648.26