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Montana rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $668.06 / $718.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.06 / $1,122.06 / $1,122.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.95 / $1,122.06 / $2,136.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.63 / $762.39 / $1,439.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.32 / $1,047.45 / $1,569.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.14 / $1,064.86 / $1,657.66