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Montana rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.61 / $335.61 / $335.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.17 / $1,114.17 / $1,114.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.78 / $913.72 / $1,256.78