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Montana rates for HCPCS 43847

Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.50 / $1,765.31 / $9,307.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,851.94 / $2,851.94 / $3,422.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.94 / $2,851.94 / $2,851.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.35 / $2,851.94 / $5,042.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.04 / $2,365.31 / $3,236.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.50 / $2,912.76 / $4,853.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.44 / $3,003.52 / $3,803.84