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Montana rates for HCPCS C1748

Endoscope, Single, Ugi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $2,400,000.00