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Montana rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.57 / $1,154.55 / $6,087.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.89 / $1,882.89 / $1,882.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.14 / $1,882.89 / $3,348.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.89 / $1,536.75 / $2,125.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.10 / $1,920.09 / $3,199.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.45 / $1,973.76 / $2,575.67