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Montana rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,311.31 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $4,677.35