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Montana rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.41 / $1,781.41 / $1,781.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.79 / $1,542.55 / $2,015.78