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Montana rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,029.66 / $3,029.66 / $3,029.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.89 / $2,434.56 / $3,457.25