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Montana rates for HCPCS 43882

Revision or removal of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.76 / $754.00 / $812.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.18 / $1,267.18 / $1,267.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.84 / $1,267.18 / $2,413.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.63 / $893.59 / $1,623.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.14 / $1,181.35 / $1,772.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.75 / $1,135.15 / $1,864.70