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Montana rates for HCPCS 43848

Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,053.32 / $3,053.32 / $3,053.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.11 / $2,550.48 / $3,490.14