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Montana rates for HCPCS 43648

Laps Revision/Rmvl Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.05 / $547.16 / $618.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.74 / $911.74 / $911.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.70 / $911.74 / $1,736.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.14 / $811.27 / $1,298.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.02 / $911.74 / $1,274.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.14 / $846.48 / $1,629.40