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Montana rates for HCPCS 43825

Gastrojejunostomy; with vagotomy, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.67 / $1,281.38 / $6,757.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.13 / $2,071.13 / $2,071.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.91 / $2,071.13 / $3,714.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.60 / $1,708.25 / $2,356.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.36 / $2,113.12 / $3,521.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.81 / $2,183.03 / $2,676.11