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Montana rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.24 / $1,251.75 / $6,603.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.12 / $2,020.12 / $2,020.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.46 / $2,020.12 / $3,592.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.77 / $1,763.79 / $2,296.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.01 / $2,062.44 / $3,436.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.47 / $2,164.50 / $3,538.13