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Montana rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,577.71 / $6,577.71 / $46,937.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.89 / $2,738.89 / $2,738.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.04 / $2,385.37 / $3,137.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.31 / $2,153.31 / $2,153.31