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Montana rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.42 / $1,177.52 / $6,210.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.45 / $1,904.45 / $1,904.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.47 / $1,904.45 / $3,361.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.79 / $1,573.92 / $2,155.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.16 / $1,942.20 / $3,236.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.17 / $2,001.27 / $2,534.21