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Montana rates for HCPCS 43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.17 / $584.46 / $660.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.35 / $1,026.35 / $1,026.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.69 / $1,026.35 / $1,954.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.89 / $705.22 / $1,257.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.24 / $915.42 / $1,361.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.98 / $749.75 / $1,207.83