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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
$489.78 / $794.33 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $3,890.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,513.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $851.14 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,995.26