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Montana rates for HCPCS C9777

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,862.89 / $8,862.89 / $8,862.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $1,800,000.00 / $2,400,000.00