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Montana rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,909.78 / $2,909.78 / $2,909.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.58 / $2,568.86 / $3,353.52