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Missouri rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.55 / $2,654.18 / $3,788.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,358.00 / $12,405.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.90 / $3,034.26 / $4,877.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.15 / $3,460.05 / $5,664.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.00 / $3,245.29 / $6,378.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,549.78 / $4,620.95 / $18,414.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.53 / $3,739.92 / $7,072.91