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Montana rates for HCPCS 43865

Revj Gstr/Jj Anast W/Rcnstj W/Vgtmy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.45 / $1,670.37 / $8,804.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.20 / $2,694.20 / $2,694.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.88 / $2,688.94 / $4,859.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.62 / $2,227.13 / $3,084.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.96 / $2,752.08 / $4,585.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.23 / $2,869.76 / $4,293.12